Organization Active NPI

Connecticut Orthopaedic Care, LLC

  • Orthopaedic Surgery Physician
  • Bristol, CT
National Provider Identifier
1114091634
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
CONNECTICUT ORTHOPAEDIC CARE, LLC
Practice address
25 Newell Rd
Bristol, CT 06010-5100
Phone
(860) 585-3681
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Vipul Dua, MDNPI 1730103862
Title
Owner
Phone
(860) 585-3681

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

25 Newell Rd
Bristol, CT 06010-5100

Mailing address

PO Box 2828
Bristol, CT 06011-2828
Phone (860) 585-3681

National Provider Directory

National Provider Directory

Locations

25 Newell Rd
Ste E31
Bristol, CT 06010
Phone (860) 308-1020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114091634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2828",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060112828",
            "telephone_number": "860-585-3681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 NEWELL RD",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060105100",
            "telephone_number": "860-585-3681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT ORTHOPAEDIC CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUA",
        "authorized_official_first_name": "VIPUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-585-3681",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, 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.

Verify at the official NPI Registry.