Organization Active NPI

LRD Danbury LLC

  • General Practice Dentistry
  • Danbury, CT
National Provider Identifier
1134512932
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10227 Issued in CT
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

Updated by the provider on Jul 15, 2015

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 10227 CT Primary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.