Active NPI
Jason David Alliger, DDS
- Endodontics
- Waterbury, CT
National Provider Identifier
1497870273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 009136
- Practice address
- 1389 West Main Street
Suite 208
Waterbury, CT 06708 - Phone
- (203) 757-1287
- Fax
- (203) 575-1537
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 009136 | CT | Primary |
Addresses
Primary practice location
1389 West Main Street
Suite 208
Waterbury, CT 06708
Mailing address
1389 West Main Street
Suite 208
Waterbury, CT 06708
Phone (203) 757-1287
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150428001437 | CT | Order and Referring Only - Dentist | 9234458100 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009136 | CT | MD | Endodontist |
| 9136 | CT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endodontic Associates of Greater Waterbury, PC | Endodontics | 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.
-
- Endodontics
- Waterbury, CT
- NPI 1073638896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433203200000",
"number": "1497870273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1389 WEST MAIN STREET",
"address_2": "SUITE 208",
"city": "WATERBURY",
"state": "CT",
"postal_code": "06708",
"telephone_number": "203-757-1287",
"fax_number": "203-575-1537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1389 WEST MAIN STREET",
"address_2": "SUITE 208",
"city": "WATERBURY",
"state": "CT",
"postal_code": "06708",
"telephone_number": "203-757-1287",
"fax_number": "203-575-1537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLIGER",
"first_name": "JASON",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2015-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CT",
"license": "009136",
"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 Jun 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.