Organization Active NPI

Proxtalker.Com,LLC

  • Durable Medical Equipment & Medical Supplies
  • Waterbury, CT
National Provider Identifier
1235364571
Registry record updated Oct 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
45099520-001 Issued in CT
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

Updated by the provider on Oct 31, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
008042594MedicaidCT
102818350 0001MedicaidPA
6710460MedicaidRI
122970024MedicaidME
1235364571MedicaidMI
0081680MedicaidOH
03559886MedicaidNY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.