Active NPI
LRD Danbury LLC
- General Practice Dentistry
- Danbury, CT
National Provider Identifier
1134512932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10227
- Legal business name
- LRD DANBURY LLC
- Practice address
- 2 Glen Hill Rd
Danbury, CT 06811-4906 - Phone
- (203) 797-9392
- Fax
- (203) 797-9588
- NPI assigned
- Mar 18, 2015
- 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. Justina Cho
- Title
- Owner
- Phone
- (646) 369-6918
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10227 | CT | Primary |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 10227 | CT |
Addresses
Primary practice location
2 Glen Hill Rd
Danbury, CT 06811-4906
Mailing address
2 Glen Hill Rd
Danbury, CT 06811-4906
Phone (203) 797-9392
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426636800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1436918400000",
"number": "1134512932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 GLEN HILL RD",
"city": "DANBURY",
"state": "CT",
"postal_code": "068114906",
"telephone_number": "203-797-9392",
"fax_number": "203-797-9588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 GLEN HILL RD",
"city": "DANBURY",
"state": "CT",
"postal_code": "068114906",
"telephone_number": "203-797-9392",
"fax_number": "203-797-9588"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LRD DANBURY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-18",
"last_updated": "2015-07-15",
"status": "A",
"authorized_official_last_name": "CHO",
"authorized_official_first_name": "JUSTINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "646-369-6918",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "10227",
"primary": true
},
{
"code": "1223S0112X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CT",
"license": "10227",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.