Active NPI
Proxtalker.Com,LLC
- Durable Medical Equipment & Medical Supplies
- Waterbury, CT
National Provider Identifier
1235364571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 45099520-001
- Legal business name
- PROXTALKER.COM,LLC
- Practice address
- 327 Huntingdon Ave
Waterbury, CT 06708-1413 - Phone
- (203) 721-6074
- Fax
- (203) 721-6070
- NPI assigned
- May 15, 2009
- 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. Glen L Dobbs
- Title
- President
- Phone
- (203) 721-6074
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 45099520-001 | CT | Primary |
Addresses
Primary practice location
327 Huntingdon Ave
Waterbury, CT 06708-1413
Mailing address
327 Huntingdon Avenue
Waterbury, CT 06708-1413
Phone (203) 721-6074
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008042594 | Medicaid | CT | |
| 102818350 0001 | Medicaid | PA | |
| 6710460 | Medicaid | RI | |
| 122970024 | Medicaid | ME | |
| 1235364571 | Medicaid | MI | |
| 0081680 | Medicaid | OH | |
| 03559886 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
327 Huntingdon Ave
Waterbury, CT 06708
Phone (203) 721-6074
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Waterbury, CT
- NPI 1164883609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1414713600000",
"number": "1235364571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "327 HUNTINGDON AVENUE",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067081413",
"telephone_number": "203-721-6074",
"fax_number": "203-721-6070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 HUNTINGDON AVE",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067081413",
"telephone_number": "203-721-6074",
"fax_number": "203-721-6070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROXTALKER.COM,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-15",
"last_updated": "2014-10-31",
"status": "A",
"authorized_official_last_name": "DOBBS",
"authorized_official_first_name": "GLEN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "203-721-6074",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CT",
"license": "45099520-001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008042594",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102818350 0001",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6710460",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122970024",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1235364571",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0081680",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03559886",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.