David C Avallon
Individual provider Active NPI Chiropractor · Stamford, CT
NPI 1033633722 · NPPES record last updated Aug 24, 2022
Key facts
- NPI
- 1033633722
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2079 (CT)
- Practice address
- 1 Atlantic St Ste 201
Stamford, CT 06901-2438 - Phone
- (203) 355-2225
- Fax
- (203) 355-2235
- NPI assigned
- Aug 3, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1305 Post Rd
Suite 213
Fairfield, CT 06824-6053
Phone (203) 955-1147
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221012001995 | CT | Practitioner - Chiropractic | 9133595408 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avallon Chiropractic & Wellness, LLC | Chiropractor | Current |
Accepting new patients |
| Stamford Sports & Spine,PC | Chiropractor | Past |
Accepting new patients |
Locations
1305 Post Rd
Ste 213
Fairfield, CT 06824
Phone (203) 955-1147
1220 Post Rd
Ste 1
Fairfield, CT 06824
Phone (203) 955-1147
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2079 | CT | Yes |
Addresses
Primary practice location
1 Atlantic St Ste 201
Stamford, CT 06901-2438
Mailing address
1220 Post Road
Suite 1
Fairfield, CT 06824
Phone (203) 955-1147
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2079 | Other | CT | CONNECTICUT |
Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.