Individual provider Active NPI

Sachin Virmani

  • General Practice Dentistry
  • Waterbury, CT
National Provider Identifier
1295055895
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
010564 Issued in CT
Practice address
1127 W Main St
Waterbury, CT 06708-2764
Phone
(203) 527-4614
Fax
(203) 527-4814
NPI assigned
Jun 4, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1855397 MA
General Practice Dentistry 1223G0001X 010564 CT Primary

Addresses

Primary practice location

1127 W Main St
Waterbury, CT 06708-2764

Mailing address

1127 W Main St
Waterbury, CT 06708-2764
Phone (203) 527-4614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1855397MAMDDentist
010564CTMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391040000000",
    "number": "1295055895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 W MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082764",
            "telephone_number": "203-527-4614",
            "fax_number": "203-527-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 W MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082764",
            "telephone_number": "203-527-4614",
            "fax_number": "203-527-4814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRMANI",
        "first_name": "SACHIN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-04",
        "last_updated": "2014-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "1855397",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "010564",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 30, 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.