Active NPI
Lia Marie Parico, DDS
- Pediatric Dentistry
- Bozrah, CT
National Provider Identifier
1376794024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 010085
- Practice address
- 392 Salem Tpke
Children'S Dental Associates of New London County, PC
Bozrah, CT 06334-1519 - Phone
- (860) 886-5576
- NPI assigned
- Sep 30, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 010085 | CT | Primary |
Addresses
Primary practice location
392 Salem Tpke
Children'S Dental Associates of New London County, PC
Bozrah, CT 06334-1519
Mailing address
392 Salem Tpke
Children'S Dental Associates of New London County, PC
Bozrah, CT 06334-1519
Phone (860) 886-5576
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
| License | State | Type | Specialty |
|---|---|---|---|
| 010085 | CT | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Dental Associates of NLC, PC | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Dentistry
- Bozrah, CT
- NPI 1225028657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294099200000",
"number": "1376794024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "392 SALEM TPKE",
"address_2": "CHILDREN'S DENTAL ASSOCIATES OF NEW LONDON COUNTY, PC",
"city": "BOZRAH",
"state": "CT",
"postal_code": "063341519",
"telephone_number": "860-886-5576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "392 SALEM TPKE",
"address_2": "CHILDREN'S DENTAL ASSOCIATES OF NEW LONDON COUNTY, PC",
"city": "BOZRAH",
"state": "CT",
"postal_code": "063341519",
"telephone_number": "860-886-5576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARICO",
"first_name": "LIA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-30",
"last_updated": "2011-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CT",
"license": "010085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bozrah, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.