Farmington Valley Orthodontic Associates

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

6213 Issued in CT

Legal business name

FARMINGTON VALLEY ORTHODONTIC ASSOCIATES

Practice address

20 West Avon Road
Suite 102
Avon, CT 06001

Phone

(860) 673-6105

Fax

(860) 673-6111

NPI assigned

Sep 7, 2006

Organization subpart

No

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

Authorized official

Name

Philip J Depasquale, DDS

Title

Owner Partner Orthodontist

Phone

(860) 673-6105

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467555995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WEST AVON ROAD",
            "address_2": "SUITE 102",
            "city": "AVON",
            "state": "CT",
            "postal_code": "06001",
            "telephone_number": "860-673-6105",
            "fax_number": "860-673-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WEST AVON ROAD",
            "address_2": "SUITE 102",
            "city": "AVON",
            "state": "CT",
            "postal_code": "06001",
            "telephone_number": "860-673-6105",
            "fax_number": "860-673-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMINGTON VALLEY ORTHODONTIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEPASQUALE",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER PARTNER ORTHODONTIST",
        "authorized_official_telephone_number": "860-673-6105",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CT",
            "license": "6213",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CT",
            "license": "4410",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farmington River Mental Health Specialists, LLC
• Farmington Valley Counseling Center LLC
• Farmington Valley Dermatology and Surgery, LLC
• Farmington Valley Direct Primary Care
• Farmington Valley Integrative Therapy, LLC
• Farmington Valley Orthopedic Associates, P.C.
• Mary E Farwell, MD
• Bethany L Ferreira
• Fernando Ferrer, MD
• Laura Fetko, PT, DPT

• Orthodontics and Dentofacial Orthopedics Dentistry in Avon, CT
• Providers in Avon, CT by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.