Organization Active NPI

C&W Dentistry, LLC

  • Dentist
  • Winsted, CT
National Provider Identifier
1942770722
Registry record updated Dec 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
C&W DENTISTRY, LLC
Practice address
140 Willow St Ste 2
Winsted, CT 06098-2092
Phone
(860) 379-4809
Fax
(860) 379-4809
NPI assigned
Dec 5, 2018
Last updated
Dec 5, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2018

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

Authorized official

Name
Kim WaskoNPI 1487792305
Title
Dentist
Phone
(860) 379-4809

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 Primary

Addresses

Primary practice location

140 Willow St Ste 2
Winsted, CT 06098-2092

Mailing address

140 Willow Street
Suite 2
Winsted, CT 06098-2092
Phone (860) 379-4809

Other practice location 1

65 Main St
Terryville, CT 06786-5103
Phone (860) 582-5950

Other identifiers 2

IdentifierTypeStateIssuer
1487792305OtherCTKIM M. WASKO
1285791244OtherCTROBERT B. CAVOLI

National Provider Directory

National Provider Directory

Locations

65 Main St
Terryville, CT 06786
Phone (860) 582-5950

140 Willow St
Ste 2
Winsted, CT 06098
Phone (860) 379-4809

Practitioners & affiliated clinicians

Practitioners 2

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": "1543968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543968000000",
    "number": "1942770722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 WILLOW STREET",
            "address_2": "SUITE 2",
            "city": "WINSTED",
            "state": "CT",
            "postal_code": "060982092",
            "telephone_number": "860-379-4809",
            "fax_number": "860-379-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 WILLOW ST STE 2",
            "city": "WINSTED",
            "state": "CT",
            "postal_code": "060982092",
            "telephone_number": "860-379-4809",
            "fax_number": "860-379-4809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 Main St",
            "address_purpose": "LOCATION",
            "city": "Terryville",
            "state": "CT",
            "postal_code": "067865103",
            "country_code": "US",
            "telephone_number": "860-582-5950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "C&W DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-05",
        "last_updated": "2018-12-05",
        "status": "A",
        "authorized_official_last_name": "WASKO",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "860-379-4809"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KIM M. WASKO",
            "identifier": "1487792305",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROBERT B. CAVOLI",
            "identifier": "1285791244",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winsted, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.