Organization Active NPI

PDC Associates, LLC

  • General Practice Dentistry
  • Torrington, CT
National Provider Identifier
1154721777
Registry record updated Sep 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Sep 2, 2014

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.