Organization Active NPI

Vivo Chiropractic Wethersfield, LLC

  • Chiropractor
  • Wethersfield, CT
National Provider Identifier
1083856462
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1441 Issued in CT
Legal business name
VIVO CHIROPRACTIC WETHERSFIELD, LLC
Practice address
465 Silas Deane Hwy
Wethersfield, CT 06109-2134
Phone
(860) 257-8700
Fax
(860) 257-8720
NPI assigned
Mar 31, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Authorized official

Name
Dr. Christopher Lavoie, D.C.
Title
President
Phone
(860) 257-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1441 CT Primary

Addresses

Primary practice location

465 Silas Deane Hwy
Wethersfield, CT 06109-2134

Mailing address

465 Silas Deane Hwy
Wethersfield, CT 06109-2134
Phone (860) 257-8700

National Provider Directory

National Provider Directory

Locations

465 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 257-8700

NPI Registry JSON

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

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537228800000",
    "number": "1083856462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 SILAS DEANE HWY",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061092134",
            "telephone_number": "860-257-8700",
            "fax_number": "860-257-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 SILAS DEANE HWY",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061092134",
            "telephone_number": "860-257-8700",
            "fax_number": "860-257-8720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVO CHIROPRACTIC WETHERSFIELD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-31",
        "last_updated": "2018-09-18",
        "status": "A",
        "authorized_official_last_name": "LAVOIE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-257-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "1441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wethersfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.