North Colony Chiropractic

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

000772 Issued in CT

Legal business name

NORTH COLONY CHIROPRACTIC

Practice address

1245 S Broad St
Wallingford, CT 06492-1737

Phone

(203) 949-2225

Fax

(203) 949-0352

NPI assigned

Sep 15, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Timothy S Pepin, D.C.NPI 1104950534

Title

Owner

Phone

(203) 949-2225

Specialties & licenses 1

Addresses

Other names 1

• None Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Scott Pepin, D.C.

  • Chiropractor
  • Wallingford, CT
  • NPI 1104950534

  Orthopedic

  NPD (past) Authorized official

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1043469018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 S BROAD ST",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064921737",
            "telephone_number": "203-949-2225",
            "fax_number": "203-949-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 S BROAD ST",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064921737",
            "telephone_number": "203-949-2225",
            "fax_number": "203-949-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COLONY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-15",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "PEPIN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-949-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "CT",
            "license": "000772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "None",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Orthopedic Chiropractor in Wallingford, CT
• Providers in Wallingford, CT by specialty
• Orthopedic Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.