Organization Active NPI

Walter P & Carolyn E McGinn DMD PC

  • Dentist
  • Putnam, CT
National Provider Identifier
1902006802
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8004 Issued in CT
Legal business name
WALTER P & CAROLYN E MCGINN DMD PC
Practice address
153 Grove St
Putnam, CT 06260-2115
Phone
(860) 928-3723
NPI assigned
Jul 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Authorized official

Name
Dr. Walter McGinn, DMDNPI 1710032446
Title
Executive Vice President for Inform
Phone
(860) 928-3723

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 8004 CT Primary

Addresses

Primary practice location

153 Grove St
Putnam, CT 06260-2115

Mailing address

153 Grove St
Putnam, CT 06260-2115
Phone (860) 928-3723

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1902006802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 GROVE ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062602115",
            "telephone_number": "860-928-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 GROVE ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062602115",
            "telephone_number": "860-928-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER P & CAROLYN E MCGINN DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "MCGINN",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT FOR INFORM",
        "authorized_official_telephone_number": "860-928-3723",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CT",
            "license": "8004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Putnam, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.