Individual provider Active NPI

Joseph F Verzino, DMD

  • General Practice Dentistry
  • Waterbury, CT
National Provider Identifier
1629101332
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
007700 Issued in CT
Practice address
109 Watertown Ave
Waterbury, CT 06708-2623
Phone
(203) 754-5027
Fax
(203) 755-5106
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
Yes

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 007700 CT Primary

Addresses

Primary practice location

109 Watertown Ave
Waterbury, CT 06708-2623

Mailing address

109 Watertown Ave
Waterbury, CT 06708-2623
Phone (203) 754-5027

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150617002318 CT Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4688985609

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007700CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health and Wellness Solutions of CT, LLC 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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629101332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 WATERTOWN AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082623",
            "telephone_number": "203-754-5027",
            "fax_number": "203-755-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 WATERTOWN AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082623",
            "telephone_number": "203-754-5027",
            "fax_number": "203-755-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERZINO",
        "first_name": "JOSEPH",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "007700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.