Icare Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

010878 Issued in CT

Legal business name

ICARE DENTAL LLC

Doing business as

South Main Dental

Practice address

49 S Main Street
Torrington, CT 06790-6430

Phone

(716) 239-5889

NPI assigned

Jul 9, 2014

Last updated

Dec 14, 2015By 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. Dharam Tayal

Title

Dentist

Phone

(716) 239-5889

Specialties & licenses 1

Addresses

Other names 1

• South Main Dental Doing business as

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450051200000",
    "number": "1811303076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 BARNUM AVE",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066144901",
            "telephone_number": "203-378-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 S MAIN STREET",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906430",
            "telephone_number": "716-239-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2015-12-14",
        "status": "A",
        "authorized_official_last_name": "TAYAL",
        "authorized_official_first_name": "DHARAM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "716-239-5889",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "010878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Main Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Humphreys, M.D.
• Jean Hunter, LPCA
• Kimberly Hunter
• Melissa Anne Hurley, LCSW
• Brian Huynh
• Emmanuel Ihemedu
• Zana Imetovski, PA-C
• Alexandra Isaac Martinez
• Isadore B Temkin DDS
• J & L Medical Services

• General Practice Dentistry in Torrington, CT
• Providers in Torrington, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.