Siegel Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

000291 Issued in CT

Legal business name

SIEGEL CHIROPRACTIC, LLC

Practice address

28 E Main St
Avon, CT 06001-3801

Phone

(860) 674-1992

Fax

(860) 674-9664

NPI assigned

Jun 25, 2013

Organization subpart

No

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

Authorized official

Name

Bennett E. Siegel, D.C.NPI 1487725024

Title

Owner

Phone

(860) 674-1992

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

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

• Bennett E. Siegel, DC

  • Chiropractor
  • Avon, CT
  • NPI 1487725024
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372118400000",
    "number": "1083054969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 E MAIN ST",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013801",
            "telephone_number": "860-674-1992",
            "fax_number": "860-674-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 E MAIN ST",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013801",
            "telephone_number": "860-674-1992",
            "fax_number": "860-674-9664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIEGEL CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-25",
        "last_updated": "2013-06-25",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "BENNETT",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-674-1992",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "000291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selinda A Shepherd, DPT
• Michael James Shiembob, OD
• Salli Unhong Shon, LCSW, BCBA, LBA
• Jeffrey Allen Sic, MA, LPCA
• Madison Sides
• Bennett E. Siegel, DC
• Alyssa Signs, FNP-C
• Deborah Simon, LCSW
• Kendra Simonds
• Carol Singer, APRN

• Chiropractor in Avon, CT
• Providers in Avon, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.

Verify at the official NPI Registry.