Active NPI
Douglas S Traub Jr., DMD
- General Practice Dentistry
- Torrington, CT
National Provider Identifier
1992701643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 005414
- Practice address
- 454 Prospect St
Torrington, CT 06790-4937 - Phone
- (860) 482-8750
- NPI assigned
- Jun 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 005414 | CT | Primary |
Addresses
Primary practice location
454 Prospect St
Torrington, CT 06790-4937
Mailing address
610 E Wakefield Blvd
Winsted, CT 06098-2914
Phone (860) 379-4151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DO 5414 SUFFIX TR | Medicaid | CT |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5414 | CT | MD | Mental Health Counselor |
| 005414 | CT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Esthetic Family Dentistry | General Practice | Past | Accepting new patients |
| PDC Associates, LLC | General Practice | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1992701643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 E WAKEFIELD BLVD",
"city": "WINSTED",
"state": "CT",
"postal_code": "060982914",
"telephone_number": "860-379-4151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "454 PROSPECT ST",
"city": "TORRINGTON",
"state": "CT",
"postal_code": "067904937",
"telephone_number": "860-482-8750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAUB",
"first_name": "DOUGLAS",
"middle_name": "S",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "005414",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DO 5414 SUFFIX TR",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Torrington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.