Active NPI
Marigot Vreeland, D.C.
- Chiropractor
- Bridgeport, CT
National Provider Identifier
1033655295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 001985
- Practice address
- 955 Main St
Apt 701
Bridgeport, CT 06604-4300 - Phone
- (203) 772-9533
- NPI assigned
- Jan 12, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 001985 | CT | Primary |
| Chiropractor | 111N00000X | 012818 | NY |
Addresses
Primary practice location
955 Main St
Apt 701
Bridgeport, CT 06604-4300
Mailing address
955 Main St
Apt 701
Bridgeport, CT 06604-4300
Phone (203) 772-9533
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012818 | NY | MD | Chiropractor |
| 001985 | CT | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484179200000",
"number": "1033655295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 MAIN ST",
"address_2": "APT 701",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066044300",
"telephone_number": "203-772-9533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 MAIN ST",
"address_2": "APT 701",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066044300",
"telephone_number": "203-772-9533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VREELAND",
"first_name": "MARIGOT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-12",
"last_updated": "2017-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CT",
"license": "001985",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "012818",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.