Organization Active NPI

Elm City Chiropractic Center

  • Chiropractor
  • New Haven, CT
National Provider Identifier
1073630117
Registry record updated Nov 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001491 Issued in CT
Legal business name
ELM CITY CHIROPRACTIC CENTER
Practice address
419 Whalley Ave
Suite 313
New Haven, CT 06511-3019
Phone
(203) 848-1599
Fax
(203) 848-1603
NPI assigned
Mar 23, 2007
Last updated
Nov 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2008

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

Authorized official

Name
Thezlay Alpizar-Diaz, D.C.
Title
Clinic Director
Phone
(203) 848-1599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 001491 CT Primary

Addresses

Primary practice location

419 Whalley Ave
Suite 313
New Haven, CT 06511-3019

Mailing address

419 Whalley Ave
Suite 313
New Haven, CT 06511-3019
Phone (203) 848-1599

National Provider Directory

National Provider Directory

Locations

419 Whalley Ave
Ste 313
New Haven, CT 06511
Phone (203) 848-1599

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1073630117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 WHALLEY AVE",
            "address_2": "SUITE 313",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065113019",
            "telephone_number": "203-848-1599",
            "fax_number": "203-848-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 WHALLEY AVE",
            "address_2": "SUITE 313",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065113019",
            "telephone_number": "203-848-1599",
            "fax_number": "203-848-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELM CITY CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "ALPIZAR-DIAZ",
        "authorized_official_first_name": "THEZLAY",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "203-848-1599",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.