Active NPI
Dylan J Plante, APRN
- Nurse Practitioner
- Waterbury, CT
National Provider Identifier
1437793171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 8652
- Practice address
- 160 Robbins Street
Waterbury, CT 06708-2652 - Phone
- (203) 755-2999
- NPI assigned
- Nov 6, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 8652 | CT | Primary |
Addresses
Primary practice location
160 Robbins Street
Waterbury, CT 06708-2652
Mailing address
160 Robbins Street
Waterbury, CT 06708-2652
Phone (203) 755-2999
Other practice location 1
1 Pomperaug Office Park # 201
Southbury, CT 06488-2295
Phone (203) 755-2999
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 |
|---|---|---|---|
| 8652 | CT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Assoc of Conn PC | Single Specialty | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576540800000",
"number": "1437793171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 ROBBINS STREET",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067082652",
"telephone_number": "203-755-2999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 ROBBINS STREET",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067082652",
"telephone_number": "203-755-2999"
}
],
"practiceLocations": [
{
"address_1": "1 Pomperaug Office Park # 201",
"address_purpose": "LOCATION",
"city": "Southbury",
"state": "CT",
"postal_code": "064882295",
"country_code": "US",
"telephone_number": "203-755-2999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PLANTE",
"first_name": "DYLAN",
"middle_name": "J",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-11-06",
"last_updated": "2019-12-17",
"certification_date": "2019-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "CT",
"license": "8652",
"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 Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.