Organization Active NPI

Brian K. Sawchuk, D.D.S. and David J. Sliva, D.M.D., L.L. C.

  • General Practice Dentistry
  • Clinton, CT
National Provider Identifier
1164864823
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5226 6138 Issued in CT
Legal business name
BRIAN K. SAWCHUK, D.D.S. AND DAVID J. SLIVA, D.M.D., L.L. C.
Practice address
8 E Main St
Suite 202
Clinton, CT 06413-2058
Phone
(860) 669-4966
NPI assigned
Jul 23, 2013
Last updated
Jul 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Justine Shafnacker
Title
Office Manager
Phone
(860) 669-4966

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5226 6138 CT Primary

Addresses

Primary practice location

8 E Main St
Suite 202
Clinton, CT 06413-2058

Mailing address

8 E Main St
Suite 202
Clinton, CT 06413-2058
Phone (860) 669-4966

National Provider Directory

National Provider Directory

Locations

8 E Main St
Ste 202
Clinton, CT 06413
Phone (401) 688-3097

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1164864823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 E MAIN ST",
            "address_2": "SUITE 202",
            "city": "CLINTON",
            "state": "CT",
            "postal_code": "064132058",
            "telephone_number": "860-669-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 E MAIN ST",
            "address_2": "SUITE 202",
            "city": "CLINTON",
            "state": "CT",
            "postal_code": "064132058",
            "telephone_number": "860-669-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN K. SAWCHUK, D.D.S. AND DAVID J. SLIVA, D.M.D., L.L. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-23",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "SHAFNACKER",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "860-669-4966"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "5226 6138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.