Active NPI
Muthersbaugh Chiropractic, Inc.
- Rehabilitation Chiropractor
- Fairfield, CT
National Provider Identifier
1023246964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- Legal business name
- MUTHERSBAUGH CHIROPRACTIC, INC.
- Practice address
- 1495 Black Rock Tpke
Fairfield, CT 06825-4165 - Phone
- (203) 333-7100
- Fax
- (203) 333-0811
- NPI assigned
- Jun 30, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kevin Michael Muthersbaugh, DC
- Title
- President
- Phone
- (203) 333-7100
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | |||
| Rehabilitation Chiropractor | 111NR0400X | Primary |
Addresses
Primary practice location
1495 Black Rock Tpke
Fairfield, CT 06825-4165
Mailing address
1495 Black Rock Tpke
Fairfield, CT 06825-4165
Phone (203) 333-7100
National Provider Directory
National Provider DirectoryLocations
1495 Black Rock Tpke
Fairfield, CT 06825
Phone (203) 333-7100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1254960000000",
"number": "1023246964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1495 BLACK ROCK TPKE",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068254165",
"telephone_number": "203-333-7100",
"fax_number": "203-333-0811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1495 BLACK ROCK TPKE",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068254165",
"telephone_number": "203-333-7100",
"fax_number": "203-333-0811"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MUTHERSBAUGH CHIROPRACTIC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-30",
"last_updated": "2009-10-08",
"status": "A",
"authorized_official_last_name": "MUTHERSBAUGH",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "203-333-7100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.