NPIMap

Organization Active NPI

Westchester Family Dental

  • General Practice Dentistry
  • Colchester, CT
National Provider Identifier
1437420064
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
008642 Issued in CT
Legal business name
WESTCHESTER FAMILY DENTAL
Practice address
715 Middletown Rd
Colchester, CT 06415-2236
Phone
(860) 267-8889
NPI assigned
Jan 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Authorized official

Name
Dr. Raymond E. Lawrence, DMD
Title
Dentist
Phone
(860) 267-8889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 008642 CT Primary

Addresses

Primary practice location

715 Middletown Rd
Colchester, CT 06415-2236

Mailing address

715 Middletown Rd
Colchester, CT 06415-2236
Phone (860) 267-8889

National Provider Directory

National Provider Directory

Locations

715 Middletown Rd
Colchester, CT 06415
Phone (860) 267-8889

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1437420064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 MIDDLETOWN RD",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064152236",
            "telephone_number": "860-267-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 MIDDLETOWN RD",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064152236",
            "telephone_number": "860-267-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTCHESTER FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "860-267-8889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "008642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colchester, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.