Pace Chiropractic Wellness Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

001366 Issued in CT

Legal business name

PACE CHIROPRACTIC WELLNESS CENTER, LLC

Practice address

3154 Whitney Ave
Hamden, CT 06518-2321

Phone

(203) 281-9635

Fax

(203) 281-9650

NPI assigned

Apr 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael Pace, D.C.NPI 1831289776

Title

Owner

Phone

(203) 281-9635

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• MT. CARMEL CHIROPRACTIC AND ACCUPUNCTURE CENTER Other name

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Pace, DC

  • Chiropractor
  • Hamden, CT
  • NPI 1831289776
  Medicare reassignment Care Compare group NPD Authorized official
• Colleen Pace, DC

  • Internist Chiropractor
  • Hamden, CT
  • NPI 1053401901
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1003031006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3154 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065182321",
            "telephone_number": "203-281-9635",
            "fax_number": "203-281-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3154 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065182321",
            "telephone_number": "203-281-9635",
            "fax_number": "203-281-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACE CHIROPRACTIC WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-281-9635",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004222582",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "001366",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1053401901",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004208189",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1831289776",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "001365",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MT. CARMEL CHIROPRACTIC AND ACCUPUNCTURE CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• McKenzie Sara Owens, ATC, EMT
• Tia Angelita Owens I
• Mildred Oxilas, DC
• Jennifer Oziol, PHARMD
• P. Renee Alberino, L.L.C.
• Colleen Pace, DC
• Michael Pace, DC
• Anthony William Pacheco III
• Eric Michael Padegimas, M.D.
• Kristine Padmanabha, RD

• Chiropractor in Hamden, CT
• Providers in Hamden, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.