Organization Active NPI

Danbury Chiropractic and Wellness Corp

  • Chiropractor
  • Danbury, CT
National Provider Identifier
1003238593
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001736 Issued in CT
Legal business name
DANBURY CHIROPRACTIC AND WELLNESS CORP
Practice address
85 North St Unit 7
Danbury, CT 06810-5635
Phone
(203) 792-5982
Fax
(203) 792-2091
NPI assigned
Jan 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Authorized official

Name
Jared Dilorenzo, DCNPI 1174707970
Title
Owner
Phone
(203) 792-9582

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 001736 CT Primary

Addresses

Primary practice location

85 North St Unit 7
Danbury, CT 06810-5635

Mailing address

85 North St Unit 7
Danbury, CT 06810-5635
Phone (203) 792-5982

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140514001689 CT Part B Supplier - Clinic/Group Practice 1355564618 Receives reassigned benefits from 1 practitioner
Practice locations: Danbury, CT

National Provider Directory

National Provider Directory

Locations

85 North St
Unit 7
Danbury, CT 06810
Phone (203) 792-5982

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1389916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1003238593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 NORTH ST UNIT 7",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105635",
            "telephone_number": "203-792-5982",
            "fax_number": "203-792-2091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 NORTH ST UNIT 7",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105635",
            "telephone_number": "203-792-5982",
            "fax_number": "203-792-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANBURY CHIROPRACTIC AND WELLNESS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-17",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "DILORENZO",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-792-9582",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.