Individual provider Active NPI

Laura P Posada-Pacheco, D.D.S.,M.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bristol, CT
National Provider Identifier
1891994802
Registry record updated Jan 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
011084 Issued in CT
Practice address
733 Terryville Ave
Bristol, CT 06010-4034
Phone
(860) 910-4212
NPI assigned
Jul 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 011084 CT Primary

Addresses

Primary practice location

733 Terryville Ave
Bristol, CT 06010-4034

Mailing address

19 Riverwalk Dr
Weatogue, CT 06089-9624
Phone (860) 263-9347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
011084CTMDOrthodontics and Dentofacial Orthopedic Dentist

Interoperability endpoints

  • Direct secure messaging: lposadapacheco373275@direct.ynhh.org

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422576000000",
    "number": "1891994802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 RIVERWALK DR",
            "city": "WEATOGUE",
            "state": "CT",
            "postal_code": "060899624",
            "telephone_number": "860-263-9347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 TERRYVILLE AVE",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104034",
            "telephone_number": "860-910-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POSADA-PACHECO",
        "first_name": "LAURA",
        "middle_name": "P",
        "credential": "D.D.S.,M.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2015-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CT",
            "license": "011084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.