Individual provider Active NPI

Daryl Thomas Fitzgerald, D.C.

  • Chiropractor
  • Norwalk, CT
National Provider Identifier
1013928100
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001135 Issued in CT
Practice address
9 Mott Ave
Suite 303
Norwalk, CT 06850-3330
Phone
(203) 853-6130
Fax
(203) 838-5801
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 001135 CT Primary
Chiropractor 111N00000X X007801-1 NY

Addresses

Primary practice location

9 Mott Ave
Suite 303
Norwalk, CT 06850-3330

Mailing address

9 Mott Ave
Suite 303
Norwalk, CT 06850-3330
Phone (203) 853-6130

Other identifiers 2

IdentifierTypeStateIssuer
050001135CT01OtherCTBLUECROSS BLUESHIELD ID #
ZS817OtherCTOXFORD HEALTH PLANS ID #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060915000214 CT Practitioner - Chiropractic 9537164041 Practice locations: Monroe, CT; Norwalk, CT

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

477 Main St
Unit 214
Monroe, CT 06468-1147
Phone (203) 994-6979

9 Mott Ave
Suite 303
Norwalk, CT 06850-3334
Phone (203) 853-6130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X007801-1NYMDChiropractor
001135CTMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1013928100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MOTT AVE",
            "address_2": "SUITE 303",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068503330",
            "telephone_number": "203-853-6130",
            "fax_number": "203-838-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MOTT AVE",
            "address_2": "SUITE 303",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068503330",
            "telephone_number": "203-853-6130",
            "fax_number": "203-838-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "DARYL",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001135",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X007801-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD ID #",
            "identifier": "050001135CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS ID #",
            "identifier": "ZS817",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.