Westside Chiropractic of Tolland, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

001388 Issued in CT

Legal business name

WESTSIDE CHIROPRACTIC OF TOLLAND, LLC

Practice address

68 Hartford Tpke
Tolland, CT 06084-2841

Phone

(860) 871-0451

Fax

(860) 875-3445

NPI assigned

Jun 5, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Erin Ashley Shepherd, D.C.NPI 1629149570

Title

Chiropractor

Phone

(860) 875-0029

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 3

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

• Guy W Gottier, D.C.

  • Chiropractor
  • Tolland, CT
  • NPI 1134155518
  Medicare reassignment Care Compare group NPD
• Erin A Shepherd, D.C.

  • Chiropractor
  • Tolland, CT
  • NPI 1629149570
  Medicare reassignment NPD Authorized official
• Christopher C Prewo, DC

  • Chiropractor
  • Norwich, CT
  • NPI 1376619130
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1104085125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 HARTFORD TPKE",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "060842841",
            "telephone_number": "860-871-0451",
            "fax_number": "860-875-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 HARTFORD TPKE",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "060842841",
            "telephone_number": "860-871-0451",
            "fax_number": "860-875-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE CHIROPRACTIC OF TOLLAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "ASHLEY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "860-875-0029",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Wassik, COTA/L
• Wat Opco LLC
• Tyler Watts, OTR/L
• Betty D Webber, COTA/L
• Sophia Rosemarie Webster
• Whole Life Inc.
• Monnica T Williams, PHD
• Winfield S Danielson Jr DDS
• Woodwinds of Tolland, Inc
• Kyle Wytas, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.