Pain & Spine Specialists of Connecticut, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

038785 Issued in CT

Legal business name

PAIN & SPINE SPECIALISTS OF CONNECTICUT, LLC

Practice address

1320 W Main St
BLDG 2
Waterbury, CT 06708-3119

Phone

(203) 758-2523

Fax

(203) 792-3920

NPI assigned

Dec 6, 2010

Organization subpart

No

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

Authorized official

Name

Dr. David C Levi, MD

Title

President

Phone

(203) 743-7246

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1467755900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 SAND PIT RD",
            "address_2": "SUITE 308",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104032",
            "telephone_number": "203-743-7246",
            "fax_number": "203-792-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 W MAIN ST",
            "address_2": "BLDG 2",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083119",
            "telephone_number": "203-758-2523",
            "fax_number": "203-792-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN & SPINE SPECIALISTS OF CONNECTICUT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-06",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "LEVI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-743-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CT",
            "license": "038785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Arcangel Padilla, LCSW
• Jason Pagan
• Claire Pagini
• Jonica Pagnucco, PA
• Pain & Spine Specialists of Connecticut, LLC
• Pain Management Partners LLC
• Mary Painter, LCSW
• Reza Pakdaman, M.D.
• Daivyd Alexander Palencia Pacheco, MD
• J. Alexander Palesty, MD

• Specialist in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.