Active NPI
Childrens Dental Care of Norwalk LLC
- Pediatric Dentistry
- Norwalk, CT
National Provider Identifier
1083765267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 04681
- Legal business name
- CHILDRENS DENTAL CARE OF NORWALK LLC
- Practice address
- 10 Mott Ave
4C
Norwalk, CT 06850-3320 - Phone
- (203) 866-5020
- NPI assigned
- Jan 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Cy Wald, DMD
- Title
- Dentist
- Phone
- (203) 866-5020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 04681 | CT | Primary |
Addresses
Primary practice location
10 Mott Ave
4C
Norwalk, CT 06850-3320
Mailing address
10 Mott Ave
4C
Norwalk, CT 06850-3320
Phone (203) 866-5020
Other names 1
- dental practice
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Dentistry
- Norwalk, CT
- NPI 1346392966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1083765267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 MOTT AVE",
"address_2": "4C",
"city": "NORWALK",
"state": "CT",
"postal_code": "068503320",
"telephone_number": "203-866-5020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 MOTT AVE",
"address_2": "4C",
"city": "NORWALK",
"state": "CT",
"postal_code": "068503320",
"telephone_number": "203-866-5020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDRENS DENTAL CARE OF NORWALK LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WALD",
"authorized_official_first_name": "CY",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "203-866-5020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "CT",
"license": "04681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "dental practice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.