Provider Type Icon

NEW CANAAN CHIROPRACTIC LLC NPI 1316488927


NPI Information

NPI: 1316488927
Provider Name: NEW CANAAN CHIROPRACTIC LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 07D2208629

Address:
111 ELM ST
NEW CANAAN, CT
ZIP 06840
Phone: (203) 966-9777
Get Directions

NEW CANAAN CHIROPRACTIC LLC is a chiropractor in New Canaan, 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. NEW CANAAN CHIROPRACTIC LLC NPI is 1316488927. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

111 ELM ST
NEW CANAAN, CT
ZIP 06840-419
Phone: (203) 966-9777
Fax: (203) 966-0778

The provider's authorized official is Bradley A Williams .
The authorized official title is Member, Duly Authorized and has the following contact phone number (203) 966-9777.

The CLIA number assigned to this NPI record is 07D2208629 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/15/2017 and was last updated on 3/15/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111NN0400XChiropractorNeurologyCT001042CONNECTICUTNo
2111NN1001XChiropractorNutritionCT001042CONNECTICUTNo
3111N00000XChiropractorCT001042CONNECTICUTYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1350000704MEDICARE PINCONNECTICUT
2P420681OTHERCONNECTICUTOXFORD
3004127123MEDICAIDCONNECTICUT
4U41692MEDICARE UPINCONNECTICUT

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.