Active NPI
Jason Vieira Queiros, D.C.
- Chiropractor
- Norwalk, CT
National Provider Identifier
1093045262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1810
- Practice address
- 488 Main Ave Ste 2
Norwalk, CT 06851-1008 - Phone
- (203) 842-8502
- NPI assigned
- Jan 11, 2010
- Sex
- Male
- Sole proprietor
- No
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 | 1810 | CT | Primary |
Addresses
Primary practice location
488 Main Ave Ste 2
Norwalk, CT 06851-1008
Mailing address
488 Main Ave Ste 2
Norwalk, CT 06851-1008
Phone (203) 842-8502
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1810 | CT | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555718400000",
"number": "1093045262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "488 MAIN AVE STE 2",
"city": "NORWALK",
"state": "CT",
"postal_code": "068511008",
"telephone_number": "203-842-8502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "488 MAIN AVE STE 2",
"city": "NORWALK",
"state": "CT",
"postal_code": "068511008",
"telephone_number": "203-842-8502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUEIROS",
"first_name": "JASON",
"middle_name": "VIEIRA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-11",
"last_updated": "2019-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CT",
"license": "1810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.