Organization Active NPI

Wla Associates

  • Dentist
  • Wolcott, CT
National Provider Identifier
1205323029
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6009 Issued in CT
Legal business name
WLA ASSOCIATES
Doing business as
LakeView Dental
Practice address
1681 Meriden Rd
Wolcott, CT 06716-3322
Phone
(203) 633-7178
Fax
(203) 528-4965
NPI assigned
Apr 17, 2018
Organization subpart
Yes
Parent organization
WLA ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Authorized official

Name
Courtney Stuhlman
Title
Office Manager
Phone
(203) 272-8222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 6009 CT Primary

Addresses

Primary practice location

1681 Meriden Rd
Wolcott, CT 06716-3322

Mailing address

1681 Meriden Rd
Wolcott, CT 06716-3322
Phone (203) 633-7178

Other names 1

  • LakeView Dental Doing business as

National Provider Directory

National Provider Directory
Part of
Wla Associates

NPI Registry JSON

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523923200000",
    "number": "1205323029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1681 MERIDEN RD",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "067163322",
            "telephone_number": "203-633-7178",
            "fax_number": "203-528-4965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1681 MERIDEN RD",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "067163322",
            "telephone_number": "203-633-7178",
            "fax_number": "203-528-4965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WLA ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WLA ASSOCIATES",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-04-17",
        "status": "A",
        "authorized_official_last_name": "STUHLMAN",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "203-272-8222"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CT",
            "license": "6009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LakeView Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wolcott, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.