Individual provider Active NPI

Paul Francis Czarzasty, D.M.D.

  • General Practice Dentistry
  • Waterbury, CT
National Provider Identifier
1346364460
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4760 Issued in CT
Practice address
934 Chase Pkwy
Waterbury, CT 06708-2916
Phone
(203) 753-8081
Fax
(203) 753-8081
NPI assigned
Mar 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4760 CT Primary

Addresses

Primary practice location

934 Chase Pkwy
Waterbury, CT 06708-2916

Mailing address

PO Box 4674
Waterbury, CT 06704-0674
Phone (203) 753-8081

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160614001596 CT Order and Referring Only - DentistPractitioner - Dentist 1153453485

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Waterbury Counseling Affiliates PastSince Mar 16, 2017 Accepting new patients
Hummingbird Counseling & Wellness, LLC PastSince Dec 9, 2019 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346364460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4674",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067040674",
            "telephone_number": "203-753-8081",
            "fax_number": "203-753-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 CHASE PKWY",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082916",
            "telephone_number": "203-753-8081",
            "fax_number": "203-753-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZARZASTY",
        "first_name": "PAUL",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "4760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.