Organization Active NPI

Sudowski Management Services LLC

  • Chiropractor
  • Waterford, CT
National Provider Identifier
1033542204
Registry record updated Aug 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SUDOWSKI MANAGEMENT SERVICES LLC
Practice address
210 Boston Post Rd
Waterford, CT 06385-2819
Phone
(860) 442-3180
Fax
(860) 447-9444
NPI assigned
Aug 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2013

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

Authorized official

Name
Bonnie M Sudowski
Title
Sole Member
Phone
(860) 442-3180

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X Primary
Independent Medical Examiner ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NI0013X
Internist ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NI0900X
Nutrition ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NN1001X
Rehabilitation ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NR0400X
Orthopedic ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NX0800X

Addresses

Primary practice location

210 Boston Post Rd
Waterford, CT 06385-2819

Mailing address

210 Boston Post Rd
Waterford, CT 06385-2819
Phone (860) 442-3180

National Provider Directory

National Provider Directory

Locations

210 Boston Post Rd
Waterford, CT 06385
Phone (860) 442-3180

NPI Registry JSON

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376265600000",
    "number": "1033542204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 BOSTON POST RD",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063852819",
            "telephone_number": "860-442-3180",
            "fax_number": "860-447-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 BOSTON POST RD",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063852819",
            "telephone_number": "860-442-3180",
            "fax_number": "860-447-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUDOWSKI MANAGEMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-12",
        "last_updated": "2013-08-12",
        "status": "A",
        "authorized_official_last_name": "SUDOWSKI",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "860-442-3180"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NI0900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Internist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.