Individual provider Active NPI

Roger D Coutant, D.M.D.

  • General Practice Dentistry
  • Torrington, CT
National Provider Identifier
1598876989
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
004144 Issued in CT
Practice address
55 Peck Rd
Torrington, CT 06790-6106
Phone
(860) 482-8588
Fax
(860) 482-7596
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 004144 CT Primary

Addresses

Primary practice location

55 Peck Rd
Torrington, CT 06790-6106

Mailing address

214 Frederick St
Torrington, CT 06790-5751
Phone (860) 489-3551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 15, 2016 through Mar 15, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
004144CTMDGeneral Practice Dentistry
4144CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS.Coutant, Sederqust & Nebor, Dentists,PC General Practice Past Accepting new patients
Northwest Corner Dental Partners LLP Past Accepting new patients

Organizations & group practices 2

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598876989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 FREDERICK ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067905751",
            "telephone_number": "860-489-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 PECK RD",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906106",
            "telephone_number": "860-482-8588",
            "fax_number": "860-482-7596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUTANT",
        "first_name": "ROGER",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "004144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

Verify at the official NPI Registry.