Organization Active NPI

Spine & Sport Fairfield LLC

Doing business as Source of Strength Chiropractic

  • Sports Physician Chiropractor
  • Fairfield, CT
National Provider Identifier
1093254500
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
1953 Issued in CT
Legal business name
SPINE & SPORT FAIRFIELD LLC
Doing business as
Source of Strength Chiropractic
Practice address
27 Halley CT
Fairfield, CT 06825-5557
Phone
(203) 522-4121
NPI assigned
Feb 16, 2017
Last updated
Feb 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Authorized official

Name
Dr. Christopher E Skelton, DCNPI 1245647452
Title
Chiropractor
Phone
(203) 522-4121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 1953 CT Primary

Addresses

Primary practice location

27 Halley CT
Fairfield, CT 06825-5557

Mailing address

27 Halley CT
Fairfield, CT 06825-5557

Other names 1

  • Source of Strength Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

27 Halley Ct
Fairfield, CT 06825
Phone (203) 522-4121

Practitioners & affiliated clinicians

Practitioners 2

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": "1487203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1093254500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 HALLEY CT",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068255557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 HALLEY CT",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068255557",
            "telephone_number": "203-522-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE & SPORT FAIRFIELD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-16",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "SKELTON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "203-522-4121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "CT",
            "license": "1953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Source of Strength Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.