Organization Active NPI

Waterbury Dental Care, P.C.

  • General Practice Dentistry
  • Waterbury, CT
National Provider Identifier
1114226255
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
009188 Issued in CT
Legal business name
WATERBURY DENTAL CARE, P.C.
Practice address
558 Chase Ave
Waterbury, CT 06704-1947
Phone
(203) 756-9900
Fax
(203) 756-9700
NPI assigned
Mar 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Authorized official

Name
Dr. Cesar Agusto Pascal, D.D.S.NPI 1821212101
Title
Dentist
Phone
(203) 756-9900

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 009188 CT Primary

Addresses

Primary practice location

558 Chase Ave
Waterbury, CT 06704-1947

Mailing address

558 Chase Ave
Waterbury, CT 06704-1947
Phone (203) 756-9900

Other identifiers 1

IdentifierTypeStateIssuer
008002951MedicaidCT

National Provider Directory

National Provider Directory
Tax ID family
Waterbury Dental Care PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

558 Chase Ave
Waterbury, CT 06704
Phone (203) 756-9900

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": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1114226255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 CHASE AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067041947",
            "telephone_number": "203-756-9900",
            "fax_number": "203-756-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 CHASE AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067041947",
            "telephone_number": "203-756-9900",
            "fax_number": "203-756-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERBURY DENTAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-15",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "PASCAL",
        "authorized_official_first_name": "CESAR",
        "authorized_official_middle_name": "AGUSTO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "203-756-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "009188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008002951",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.