Robert B Cavoli, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

08537 Issued in CT

Practice address

65 Main Street
Terryville, CT 06786

Phone

(860) 582-5950

Fax

(860) 582-5950

NPI assigned

Jan 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• C&W Dentistry, LLC

  • Dentist
  • Winsted, CT
  • NPI 1942770722
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285791244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 MAIN STREET",
            "city": "TERRYVILLE",
            "state": "CT",
            "postal_code": "06786",
            "telephone_number": "860-582-5950",
            "fax_number": "860-582-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MAIN STREET",
            "city": "TERRYVILLE",
            "state": "CT",
            "postal_code": "06786",
            "telephone_number": "860-582-5950",
            "fax_number": "860-582-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVOLI",
        "first_name": "ROBERT",
        "middle_name": "B",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "08537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beacon Prescriptions Terryville
• Thea Bernabe, LCSW
• Taylor Binette, LPC-A
• Nicholas Harrison Bonoff, DPT
• Amanda Byrnes
• Joseph T Cherneskie, MD
• Mark Cho, APRN
• Elizabeth Colaianni
• Jordan Conklin
• Connecticut CVS Pharmacy, L.L.C. (CVS Pharmacy# 00954)

• General Practice Dentistry in Terryville, CT
• Providers in Terryville, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.