Active NPI
Waterbury Dental Care, P.C.
- General Practice Dentistry
- Waterbury, CT
National Provider Identifier
1114226255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 009188
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008002951 | Medicaid | CT |
National Provider Directory
National Provider Directory- Tax ID family
- Waterbury Dental Care PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Waterbury, CT
- NPI 1558670430
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.
-
- General Practice Dentistry
- Waterbury, CT
- NPI 1821212101
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
- Waterbury Anesthesiology Assoc. Inc
- Waterbury Center for Nursing & Rehabilitation, LLC
- Waterbury Chiropractic Office LLC
- Waterbury Counseling Affiliates
- Waterbury Dental Care P.C.
- Waterbury Eye Associates LLC
- Waterbury Family Chiropractic, LLC
- Waterbury Family Dental P.C.
- Waterbury Gardens Nursing and Rehab LLC
- Waterbury Gardens Nursing and Rehab LLC
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.