Organization Active NPI

Yaun Chiropractic LLC

  • Chiropractor
  • Fairfield, CT
National Provider Identifier
1104136019
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1853 Issued in CT
Legal business name
YAUN CHIROPRACTIC LLC
Practice address
1735 Post Rd BLDG 14
Fairfield, CT 06824-5782
Phone
(203) 292-9328
NPI assigned
Oct 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Authorized official

Name
Dr. Andrew John Yaun, D.C.NPI 1124331897
Title
President
Phone
(203) 292-9328

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1853 CT Primary

Addresses

Primary practice location

1735 Post Rd BLDG 14
Fairfield, CT 06824-5782

Mailing address

65 Ellsworth St Apt 306
Bridgeport, CT 06605-3166
Phone (203) 292-9328

Other names 1

  • Optimal Sports Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

1275 Post Rd
Ste A19
Fairfield, CT 06824
Phone (203) 292-9328

1735 Post Rd
Bldg 14
Fairfield, CT 06824
Phone (203) 292-9328

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1104136019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 ELLSWORTH ST APT 306",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066053166",
            "telephone_number": "203-292-9328",
            "fax_number": "203-292-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 POST RD BLDG 14",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245782",
            "telephone_number": "203-292-9328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAUN CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-13",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "YAUN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-292-9328",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "1853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimal Sports Therapy",
            "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 Jan 2, 2024; 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.