Active NPI
Vincent M Buonanno, DC
- Orthopedic Chiropractor
- Greenwich, CT
National Provider Identifier
1033239397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- 270
- Practice address
- 4 Dearfield Dr
Suite 105
Greenwich, CT 06831-5351 - Phone
- (120) 366-1669
- Fax
- (120) 366-1187
- NPI assigned
- Mar 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | 270 | CT | Primary |
Addresses
Primary practice location
4 Dearfield Dr
Suite 105
Greenwich, CT 06831-5351
Mailing address
4 Dearfield Dr
Suite 105
Greenwich, CT 06831-5351
Phone (120) 366-1669
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 222346845 | Other | CT | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090923000089 | CT | Practitioner - Chiropractic | 8325194962 | Practice locations: Greenwich, CT |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240358400000",
"number": "1033239397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 DEARFIELD DR",
"address_2": "SUITE 105",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068315351",
"telephone_number": "120-366-1669",
"fax_number": "120-366-1187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 DEARFIELD DR",
"address_2": "SUITE 105",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068315351",
"telephone_number": "120-366-1669",
"fax_number": "120-366-1187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUONANNO",
"first_name": "VINCENT",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-30",
"last_updated": "2009-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "CT",
"license": "270",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "222346845",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; 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.