Active NPI
Timothy Scott Pepin, D.C.
- Chiropractor
- Wallingford, CT
National Provider Identifier
1104950534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 000772
- Practice address
- 1245 S Broad St
Wallingford, CT 06492-1737 - Phone
- (203) 949-2225
- Fax
- (203) 949-0352
- NPI assigned
- Mar 15, 2007
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 000772 | CT | Primary |
| Orthopedic Chiropractor | 111NX0800X | 000772 | CT | |
| Rehabilitation Chiropractor | 111NR0400X | 000772 | CT |
Addresses
Primary practice location
1245 S Broad St
Wallingford, CT 06492-1737
Mailing address
1245 S Broad St
Wallingford, CT 06492-1737
Phone (203) 949-2225
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 |
|---|---|---|---|
| 000772 | CT | MD | Rehabilitation Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Colony Chiropractic | Orthopedic | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1104950534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1245 S BROAD ST",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "064921737",
"telephone_number": "203-949-2225",
"fax_number": "203-949-0352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 S BROAD ST",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "064921737",
"telephone_number": "203-949-2225",
"fax_number": "203-949-0352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEPIN",
"first_name": "TIMOTHY",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CT",
"license": "000772",
"primary": true
},
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "CT",
"license": "000772",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "CT",
"license": "000772",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wallingford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.