Individual provider Active NPI

Catherine Barbara Raslear, DMD

  • General Practice Dentistry
  • Torrington, CT
National Provider Identifier
1063471688
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
009548 Issued in CT
Practice address
469 Migeon Ave
Torrington, CT 06790-4643
Phone
(860) 528-1359
Fax
(860) 482-3067
NPI assigned
Mar 22, 2006
Last updated
May 29, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 009548 CT Primary

Addresses

Primary practice location

469 Migeon Ave
Torrington, CT 06790-4643

Mailing address

469 Migeon Ave
Torrington, CT 06790-4643
Phone (860) 482-3038

Other identifiers 1

IdentifierTypeStateIssuer
004236156MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231106000786 CT Order and Referring Only - DentistPractitioner - Dentist 4981051497

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009548CTMDGeneral Practice Dentistry

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1063471688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 MIGEON AVE",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067904643",
            "telephone_number": "860-482-3038",
            "fax_number": "860-482-3067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 MIGEON AVE",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067904643",
            "telephone_number": "860-528-1359",
            "fax_number": "860-482-3067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASLEAR",
        "first_name": "CATHERINE",
        "middle_name": "BARBARA",
        "name_prefix": "Ms.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "009548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004236156",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

Verify at the official NPI Registry.