Organization Active NPI

McKenna Family Chiropractic LLC

  • Health Service Clinic/Center
  • Waterbury, CT
National Provider Identifier
1063720597
Registry record updated Sep 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
000767 Issued in CT
Legal business name
MCKENNA FAMILY CHIROPRACTIC LLC
Practice address
1869 E Main St
Waterbury, CT 06705-1819
Phone
(203) 597-8303
Fax
(203) 597-8315
NPI assigned
Sep 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2010

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

Authorized official

Name
Dr. Virginia McKenna, DC
Title
Owner/Chiropractor
Phone
(203) 597-8303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 000767 CT Primary

Addresses

Primary practice location

1869 E Main St
Waterbury, CT 06705-1819

Mailing address

1869 E Main St
Waterbury, CT 06705-1819
Phone (203) 597-8303

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284681600000",
    "number": "1063720597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1869 E MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067051819",
            "telephone_number": "203-597-8303",
            "fax_number": "203-597-8315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1869 E MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067051819",
            "telephone_number": "203-597-8303",
            "fax_number": "203-597-8315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKENNA FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-17",
        "last_updated": "2010-09-17",
        "status": "A",
        "authorized_official_last_name": "MCKENNA",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "203-597-8303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CT",
            "license": "000767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; 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.