DR. KENNETH DEMAREST D.C. NPI 1134133846

NPI Information

NPI: 1134133846
Provider Name: DR. KENNETH DEMAREST, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
740 MAPLE AVE
HARTFORD, CT
ZIP 06114
Phone: (860) 296-0090
Get Directions

DR. Kenneth Demarest, D.C. is a chiropractor in Hartford, CT. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Kenneth Demarest, D.C. NPI is 1134133846. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

740 MAPLE AVE
HARTFORD, CT
ZIP 06114-314
Phone: (860) 296-0090
Fax: (860) 296-1520

The enumeration date for this NPI number is 7/28/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		001360	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7163301	OTHER	CONNECTICUT	AETNA NON HMO/PPO#
2	U80659	MEDICARE UPIN	CONNECTICUT
3	CT0847	OTHER	CONNECTICUT	LANDMARK/HEALTH NET
4	001360	OTHER	CONNECTICUT	STATE LICENSE #
5	10450156	OTHER	CONNECTICUT	CAQH
6	050001360CT04	OTHER	CONNECTICUT	BCBS
7	1034337	OTHER	CONNECTICUT	ASHN
8	1289267	OTHER	CONNECTICUT	AETNA HMO#

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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