NPIMap

Organization Active NPI

New Way Dental SVCS LLC

  • General Practice Dentistry
  • Willimantic, CT
National Provider Identifier
1801036058
Registry record updated Mar 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
009090 Issued in CT
Legal business name
NEW WAY DENTAL SVCS LLC
Practice address
886 Main St
Suite 2
Willimantic, CT 06226-2340
Phone
(860) 231-1331
Fax
(860) 231-0363
NPI assigned
Feb 28, 2009
Last updated
Mar 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2009

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

Authorized official

Name
Dr. Margarita Y MontalvoNPI 1013055888
Title
DDS/Member
Phone
(860) 456-1333

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 009090 CT Primary

Addresses

Primary practice location

886 Main St
Suite 2
Willimantic, CT 06226-2340

Mailing address

163 Newington Rd
West Hartford
Willimantic, CT 06226-2359
Phone (860) 456-1333

Other identifiers 1

IdentifierTypeStateIssuer
002090900MedicaidCT

National Provider Directory

National Provider Directory

Locations

886 Main St
Ste 2
Willimantic, CT 06226
Phone (860) 231-1331

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1235779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1801036058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 NEWINGTON RD",
            "address_2": "WEST HARTFORD",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062262359",
            "telephone_number": "860-456-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "886 MAIN ST",
            "address_2": "SUITE 2",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062262340",
            "telephone_number": "860-231-1331",
            "fax_number": "860-231-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW WAY DENTAL SVCS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-28",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "MONTALVO",
        "authorized_official_first_name": "MARGARITA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "DDS/MEMBER",
        "authorized_official_telephone_number": "860-456-1333",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "009090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002090900",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willimantic, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; 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.