Individual provider Active NPI

Richard Eric Pinsky, D.C.

  • Chiropractor
  • Fairfield, CT
National Provider Identifier
1043318850
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
683 Issued in CT
Practice address
2000 Post Rd Ste 203
Fairfield, CT 06824-5730
Phone
(203) 259-1555
Fax
(203) 254-2417
NPI assigned
Sep 20, 2006
Last updated
Jun 19, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 683 CT Primary

Addresses

Primary practice location

2000 Post Rd Ste 203
Fairfield, CT 06824-5730

Mailing address

1995 Post Rd
Fairfield, CT 06824-5723
Phone (203) 259-1555

Other identifiers 1

IdentifierTypeStateIssuer
050000683CT06OtherCTBC/BS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041129000221 CT Practitioner - Chiropractic 6406811751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1995 Post Rd
Fairfield, CT 06824-5723
Phone (203) 259-1555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000683CTMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Health & Wellness Center LLC Chiropractor CurrentSince Oct 13, 2010 Accepting new patients
Respiratory Associates PC Past Accepting new patients
Southport Chiropractic Office, P.C. PastSince Oct 13, 2010 Accepting new patients

Locations

1995 Post Rd
Fairfield, CT 06824
Phone (203) 259-1555

2000 Post Rd
Ste 203
Fairfield, CT 06824
Phone (203) 254-1631

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1043318850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 POST RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245723",
            "telephone_number": "203-259-1555",
            "fax_number": "203-259-7319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 POST RD STE 203",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245730",
            "telephone_number": "203-259-1555",
            "fax_number": "203-254-2417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINSKY",
        "first_name": "RICHARD",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "050000683CT06",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.