NPIMap

Organization Active NPI

Litchfield Dental Associates, LLC

  • Dentist
  • Litchfield, CT
National Provider Identifier
1902576101
Registry record updated Sep 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
LITCHFIELD DENTAL ASSOCIATES, LLC
Practice address
63 West Street
Litchfield, CT 06759
Phone
(860) 567-9488
Fax
(860) 567-4365
NPI assigned
Sep 18, 2021
Last updated
Sep 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2021

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

Authorized official

Name
Steven Sideris, D.D.SNPI 1659416238
Title
Owner
Phone
(860) 567-9488

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
Dentist 122300000X NU Primary

Addresses

Primary practice location

63 West Street
Litchfield, CT 06759

Mailing address

P.O. Box 414
63 West Street
Litchfield, CT 06759
Phone (860) 567-9488

National Provider Directory

National Provider Directory

Locations

63 West St
Litchfield, CT 06759
Phone (860) 567-9488

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": "1631923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631923200000",
    "number": "1902576101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 414",
            "address_2": "63 WEST STREET",
            "city": "LITCHFIELD",
            "state": "CT",
            "postal_code": "06759",
            "telephone_number": "860-567-9488",
            "fax_number": "860-567-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 WEST STREET",
            "city": "LITCHFIELD",
            "state": "CT",
            "postal_code": "06759",
            "telephone_number": "860-567-9488",
            "fax_number": "860-567-4365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITCHFIELD DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-18",
        "last_updated": "2021-09-18",
        "certification_date": "2021-09-18",
        "status": "A",
        "authorized_official_last_name": "SIDERIS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-567-9488",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Litchfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2021; 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.