Individual provider Active NPI

Eric Douglas Meyers, D.C.

  • Chiropractor
  • Hamden, CT
National Provider Identifier
1053350355
Registry record updated Apr 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001630 Issued in CT
Practice address
2440 Whitney Ave
Suite 209
Hamden, CT 06518-3222
Phone
(203) 287-8524
Fax
(203) 287-2452
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 001630 CT Primary

Addresses

Primary practice location

2440 Whitney Ave
Suite 209
Hamden, CT 06518-3222

Mailing address

49 Midland Ave
Rye, NY 10580-3530
Phone (203) 843-1668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051219000011 CT Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 6507887536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

262 State St
Suite B
North Haven, CT 06473-2273
Phone (203) 287-8524

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001630CTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Olympic Health and Sports Therapy PC CurrentSince Jan 1, 2014 Accepting new patients
Connecticut Chiropractic Specialists LLC Chiropractor PastSince Feb 27, 2012 Accepting new patients
Integrative Chiropractic Chiropractor Past Accepting new patients
Omni Physical & Aquatic Therapy Center, Inc Chiropractor Past Accepting new patients

Locations

2440 Whitney Ave
Ste 209
Hamden, CT 06518
Phone (203) 230-2350

262 State St
Ste B
North Haven, CT 06473
Phone (203) 287-8524

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427846400000",
    "number": "1053350355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 MIDLAND AVE",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105803530",
            "telephone_number": "203-843-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 WHITNEY AVE",
            "address_2": "SUITE 209",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183222",
            "telephone_number": "203-287-8524",
            "fax_number": "203-287-2452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERS",
        "first_name": "ERIC",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2015-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.