Active NPI
PDC Associates, LLC
- General Practice Dentistry
- Torrington, CT
National Provider Identifier
1154721777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- PDC ASSOCIATES, LLC
- Practice address
- 454 Prospect St
Torrington, CT 06790-4937 - Phone
- (860) 482-8750
- Fax
- (806) 201-4580
- NPI assigned
- Sep 2, 2014
- 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
- Mr. Gary S Lavado
- Title
- Managing Member
- Phone
- (860) 482-8750
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
454 Prospect St
Torrington, CT 06790-4937
Mailing address
454 Prospect St
Torrington, CT 06790-4937
Phone (860) 482-8750
Other names 1
- Positive Dental Care
National Provider Directory
National Provider DirectoryLocations
454 Prospect St
Torrington, CT 06790
Phone (860) 482-8750
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": "1409616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1409616000000",
"number": "1154721777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "454 PROSPECT ST",
"city": "TORRINGTON",
"state": "CT",
"postal_code": "067904937",
"telephone_number": "860-482-8750",
"fax_number": "806-201-4580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "454 PROSPECT ST",
"city": "TORRINGTON",
"state": "CT",
"postal_code": "067904937",
"telephone_number": "860-482-8750",
"fax_number": "806-201-4580"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PDC ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-02",
"last_updated": "2014-09-02",
"status": "A",
"authorized_official_last_name": "LAVADO",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "860-482-8750",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Positive Dental Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Torrington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.