Litchfield Hills Dermatology, PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

044520 Issued in CT

Legal business name

LITCHFIELD HILLS DERMATOLOGY, PC

Practice address

409 Bantam Rd Ste 2a
Litchfield, CT 06759-3200

Phone

(860) 361-9660

Fax

(860) 361-9659

NPI assigned

Aug 15, 2007

Last updated

Aug 15, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Beatrice Maria Dias, M.D.NPI 1326009473

Title

President

Phone

(917) 494-5777

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Beatrice M Dias, MD

  • Dermatology Physician
  • Litchfield, CT
  • NPI 1326009473
  Authorized official Same address or phone

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1629260435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 BANTAM RD STE 2A",
            "city": "LITCHFIELD",
            "state": "CT",
            "postal_code": "067593200",
            "telephone_number": "860-361-9660",
            "fax_number": "860-361-9659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 BANTAM RD STE 2A",
            "city": "LITCHFIELD",
            "state": "CT",
            "postal_code": "067593200",
            "telephone_number": "860-361-9660",
            "fax_number": "860-361-9659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITCHFIELD HILLS DERMATOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2007-08-15",
        "status": "A",
        "authorized_official_last_name": "DIAS",
        "authorized_official_first_name": "BEATRICE",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-494-5777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CT",
            "license": "044520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Litchfield Dental Holdings PLLC
• Litchfield Family Chiropractic LLC
• Litchfield Hills Adult Day Care LLC
• Litchfield Hills Child Counseling, LLC
• Litchfield Hills Clinical Services
• Litchfield Hills Pediatrics LLC
• Craig Lombardi, ATC
• Steven Lurie, PHD
• Eileen Mae Manela, LCSW
• Jessie T Mangs, PA

• Dermatology Physician in Litchfield, CT
• Providers in Litchfield, CT by specialty
• Dermatology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; 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.