Active NPI
Steven Thiele, D.C.
- Chiropractor
- Glastonbury, CT
National Provider Identifier
1053497974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 000577
- Practice address
- 39 New London Tpke Ste 120
Glastonbury, CT 06033-4254 - Phone
- (203) 204-2517
- Fax
- (860) 643-9133
- NPI assigned
- Oct 31, 2006
- Last updated
- Sep 3, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 000577 | CT | Primary |
Addresses
Primary practice location
39 New London Tpke Ste 120
Glastonbury, CT 06033-4254
Mailing address
39 New London Tpke Ste 120
Glastonbury, CT 06033-4254
Phone (203) 204-2517
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6166581000 | Other | CT | TAX NUMBER |
| 004122694 | Medicaid | CT | |
| CT4967 | Other | CT | HEALTHNET |
| 4219342 | Other | CT | AETNA |
| 050000577CT01 | Other | CT | BLUECROSSBLUESHIELD |
| 792118 | Other | CT | CONNECTICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121218000515 | CT | Practitioner - Chiropractic | 0648422709 | Practice locations: Manchester, CT |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000577 | CT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1053497974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 NEW LONDON TPKE STE 120",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060334254",
"telephone_number": "203-204-2517",
"fax_number": "860-643-9133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 NEW LONDON TPKE STE 120",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060334254",
"telephone_number": "203-204-2517",
"fax_number": "860-643-9133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIELE",
"first_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-31",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CT",
"license": "000577",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX NUMBER",
"identifier": "6166581000",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004122694",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "CT4967",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4219342",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSSBLUESHIELD",
"identifier": "050000577CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "792118",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glastonbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.