Organization Active NPI

World Support Source Inc

  • General Practice Physician
  • Danbury, CT
National Provider Identifier
1346545753
Registry record updated Jan 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
WORLD SUPPORT SOURCE INC
Practice address
100 Mill Plain Rd
Danbury, CT 06811-5178
Phone
(203) 791-3839
NPI assigned
Jan 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2011

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

Authorized official

Name
Konstantin Kalaydzhiev
Title
Owner
Phone
(203) 791-3839

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

100 Mill Plain Rd
Danbury, CT 06811-5178

Mailing address

100 Mill Plain Rd
Danbury, CT 06811-5178
Phone (203) 791-3839

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1294963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294963200000",
    "number": "1346545753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MILL PLAIN RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068115178",
            "telephone_number": "203-791-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MILL PLAIN RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068115178",
            "telephone_number": "203-791-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORLD SUPPORT SOURCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-14",
        "last_updated": "2011-01-14",
        "status": "A",
        "authorized_official_last_name": "KALAYDZHIEV",
        "authorized_official_first_name": "KONSTANTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-791-3839"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; 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.