Organization Active NPI

Spine Dynamics, Inc.

  • Chiropractor
  • Enfield, CT
National Provider Identifier
1023271970
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001548 Issued in CT
Legal business name
SPINE DYNAMICS, INC.
Practice address
701 Enfield St
Suite 170
Enfield, CT 06082-2961
Phone
(860) 741-2187
Fax
(860) 741-2188
NPI assigned
Jul 9, 2008
Last updated
Jul 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Dr. Scott Michael Cato, D.C.NPI 1902921174
Title
President
Phone
(860) 741-2187

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
Chiropractor 111N00000X 001548 CT Primary

Addresses

Primary practice location

701 Enfield St
Suite 170
Enfield, CT 06082-2961

Mailing address

701 Enfield St
Suite 170
Enfield, CT 06082-2961
Phone (860) 741-2187

Other identifiers 8

IdentifierTypeStateIssuer
P00271268OtherCTRAILROAD MEDICARE
CT15480OtherCTLANDMARK
050001548CT01OtherCTANTHEM BCBS
9385151OtherCTPHCS
P3240793OtherCTOXFORD HEALTH PLAN
105007OtherCTASHN
7127580OtherCTAETNA
659634OtherCTUHC, HNE, ACN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230320001487 CT Part B Supplier - Clinic/Group Practice 5294109955 Receives reassigned benefits from 1 practitioner
Practice locations: Enfield, CT

National Provider Directory

National Provider Directory

Locations

701 Enfield St
Ste 170
Enfield, CT 06082
Phone (860) 741-2187

76 Palomba Dr
Ste 5D
Enfield, CT 06082
Phone (860) 741-2187

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1023271970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 ENFIELD ST",
            "address_2": "SUITE 170",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060822961",
            "telephone_number": "860-741-2187",
            "fax_number": "860-741-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 ENFIELD ST",
            "address_2": "SUITE 170",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060822961",
            "telephone_number": "860-741-2187",
            "fax_number": "860-741-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE DYNAMICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "CATO",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-741-2187",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00271268",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LANDMARK",
            "identifier": "CT15480",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "050001548CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "9385151",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN",
            "identifier": "P3240793",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHN",
            "identifier": "105007",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7127580",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC, HNE, ACN",
            "identifier": "659634",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.