Active NPI
David Anthony Vito II, DDS
- Dentist
- Watertown, CT
National Provider Identifier
1114177953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8341
- Practice address
- 39 Woodruff Ave
Watertown, CT 06795-2531 - Phone
- (860) 274-5915
- NPI assigned
- Sep 30, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8341 | CT | Primary |
Addresses
Primary practice location
39 Woodruff Ave
Watertown, CT 06795-2531
Mailing address
39 Woodruff Ave
Watertown, CT 06795-2531
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222732800000",
"number": "1114177953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 WOODRUFF AVE",
"city": "WATERTOWN",
"state": "CT",
"postal_code": "067952531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 WOODRUFF AVE",
"city": "WATERTOWN",
"state": "CT",
"postal_code": "067952531",
"telephone_number": "860-274-5915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VITO",
"first_name": "DAVID",
"middle_name": "ANTHONY",
"name_suffix": "II",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-30",
"last_updated": "2008-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "8341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watertown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.