Adam R Church, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

001459 Issued in CT

Practice address

185 Main St
East Haven, CT 06512-3032

Phone

(203) 466-1111

Fax

(203) 468-9684

NPI assigned

Nov 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: adam.church@ctproviderdirect.org

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.

• Atlas Chiropractic, Inc.

  • Chiropractor
  • East Haven, CT
  • NPI 1710392691
  NPD (past) Authorized official

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003987801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 MAIN ST",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065123032",
            "telephone_number": "203-466-1111",
            "fax_number": "203-468-9684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 MAIN ST",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065123032",
            "telephone_number": "203-466-1111",
            "fax_number": "203-468-9684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCH",
        "first_name": "ADAM",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Changing Stories LLC
• Jennifer M Chase, ATR-BC, LPC
• Neil Chattopadhyay
• Shi Jen Cheng, MD
• Kathleen Ann Christofferson, OTR/L
• Kyle Richard Cifarelli, LAT, ATC
• Donna Lynn Cofrancesco, RDH
• Connecticut CVS Pharmacy, L.L.C.
• Connecticut CVS Pharmacy, L.L.C.
• Connecticut Podiatry Group,P.C.

• Chiropractor in East Haven, CT
• Providers in East Haven, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.