Individual provider Active NPI

Debra Dlug, D.C.

  • Chiropractor
  • Brookfield, CT
National Provider Identifier
1043651474
Registry record updated Jul 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1946 Issued in CT
Practice address
499 Federal Rd Ste 18
Brookfield, CT 06804-2042
Phone
(203) 775-7102
Fax
(203) 775-6843
NPI assigned
Jul 15, 2013
Last updated
Jul 15, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1946 CT Primary

Addresses

Primary practice location

499 Federal Rd Ste 18
Brookfield, CT 06804-2042

Mailing address

499 Federal Rd Ste 18
Brookfield, CT 06804-2042
Phone (203) 775-7102

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

LicenseStateTypeSpecialty
1946CTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brookfield Family Chiropractic, LLC Chiropractor Past Accepting new patients
Well Adjusted LLC Chiropractor Past Accepting new patients

Organizations & group practices 2

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": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1043651474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 FEDERAL RD STE 18",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042042",
            "telephone_number": "203-775-7102",
            "fax_number": "203-775-6843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 FEDERAL RD STE 18",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042042",
            "telephone_number": "203-775-7102",
            "fax_number": "203-775-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DLUG",
        "first_name": "DEBRA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "1946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, CT

Sources for this page

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