NPIMap

Organization Active NPI

The Landry Chiropractic Center, LLC

  • Chiropractor
  • Enfield, CT
National Provider Identifier
1003038613
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001461 Issued in CT
Legal business name
THE LANDRY CHIROPRACTIC CENTER, LLC
Practice address
546 Enfield St
Enfield, CT 06082-2408
Phone
(860) 265-3792
NPI assigned
May 3, 2007
Last updated
Dec 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Authorized official

Name
Dr. Kenneth Paul Landry, D.C.NPI 1851342992
Title
Chiropractor
Phone
(860) 265-3792

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 001461 CT Primary

Addresses

Primary practice location

546 Enfield St
Enfield, CT 06082-2408

Mailing address

546 Enfield St
Enfield, CT 06082-2408
Phone (860) 265-3792

National Provider Directory

National Provider Directory

Locations

546 Enfield St
Enfield, CT 06082
Phone (860) 265-3792

Practitioners & affiliated clinicians

Practitioners 1

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1003038613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 ENFIELD ST",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060822408",
            "telephone_number": "860-265-3792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 ENFIELD ST",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060822408",
            "telephone_number": "860-265-3792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LANDRY CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "LANDRY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "860-265-3792",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.