Christopher S. Connaughty, D.C.

Individual provider Active NPI Chiropractor · Old Saybrook, CT

NPI 1003922535 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1003922535
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
000589 (CT)
Practice address
142 Boston Post Rd
Old Saybrook, CT 06475-1548
Phone
(860) 388-1654
Fax
(860) 388-6748
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connaughty Chiropractic Center (3 clinicians)

Practice addresses (Care Compare)

142 Boston Post Rd
Old Saybrook, CT 06475-1548
Phone (860) 388-1654

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CT

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20101221000609 CT Practitioner - Chiropractic 3678460045 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
589CTMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Connaughty Chiropractic Center Chiropractor Current
since Jan 1, 1987
Accepting new patients

Locations

142 Boston Post Rd
Old Saybrook, CT 06475
Phone (860) 388-1654

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 000589 CT Yes

Addresses

Primary practice location

142 Boston Post Rd
Old Saybrook, CT 06475-1548

Mailing address

142 Boston Post Rd
Old Saybrook, CT 06475-1548
Phone (860) 388-1654

Other providers in Old Saybrook, CT

All providers in Old Saybrook, CT · Chiropractor in Connecticut

Sources for this page

Verify at the official NPI Registry.