NPIMap

Organization Active NPI

Northwest Hills Pediatrics PC

  • Pediatric Adolescent Medicine Physician
  • Torrington, CT
National Provider Identifier
1639220676
Registry record updated Dec 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
NORTHWEST HILLS PEDIATRICS PC
Practice address
538 Litchfield St
Suite G-02
Torrington, CT 06790-6669
Phone
(860) 489-5068
Fax
(860) 489-3725
NPI assigned
Jan 16, 2007
Last updated
Dec 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2017

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

Authorized official

Name
Dr. Edward Carleton Kavle, M.D.NPI 1598722068
Title
President
Phone
(860) 489-5068

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU
Pediatric Nurse Practitioner 363LP0200X NU
Pediatric Adolescent Medicine Physician 2080A0000X NU Primary

Addresses

Primary practice location

538 Litchfield St
Suite G-02
Torrington, CT 06790-6669

Mailing address

538 Litchfield St
Suite G-02
Torrington, CT 06790-6669
Phone (860) 489-5068

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D0100533Northwest Hills Pediatrics, PC538 Litchfield St, Suite G-02, Torrington, CT 06790Certificate of waiverDec 6, 2027
07D1078878Northwest Hills Pediatrics, PC538 Litchfield St, Suite G-02, Torrington, CT 06790Certificate of waiverJan 16, 2028

National Provider Directory

National Provider Directory

Locations

538 Litchfield St
Ste G02
Torrington, CT 06790
Phone (860) 489-5068

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512604800000",
    "number": "1639220676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 LITCHFIELD ST",
            "address_2": "SUITE G-02",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906669",
            "telephone_number": "860-489-5068",
            "fax_number": "860-489-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 LITCHFIELD ST",
            "address_2": "SUITE G-02",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906669",
            "telephone_number": "860-489-5068",
            "fax_number": "860-489-3725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST HILLS PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2017-12-07",
        "status": "A",
        "authorized_official_last_name": "KAVLE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "CARLETON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-489-5068",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.