Individual provider Active NPI

Christopher Zbigniew Lachowski, D.C.

  • Chiropractor
  • East Lyme, CT
National Provider Identifier
1104961549
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
000714 Issued in CT
Practice address
15 Chesterfield Rd
Suite 206
East Lyme, CT 06333-1730
Phone
(869) 739-6259
Fax
(860) 739-6429
NPI assigned
Feb 21, 2007
Last updated
Nov 29, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 000714 CT Primary
Nutrition Chiropractor 111NN1001X 000714 CT
Occupational Health Chiropractor 111NX0100X 000714 CT

Addresses

Primary practice location

15 Chesterfield Rd
Suite 206
East Lyme, CT 06333-1730

Mailing address

PO Box 369
East Lyme, CT 06333-0369
Phone (860) 739-6259

Other identifiers 1

IdentifierTypeStateIssuer
000714OtherCTCHIROPRACTIC LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120106000644 CT Practitioner - Chiropractic 7012183320 Practice locations: East Lyme, CT

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15 Chesterfield Rd
Suite 206
East Lyme, CT 06333-1736
Phone (860) 739-6259

PO Box
Suite 369
East Lyme, CT 06333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000714CTMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1104961549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 369",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063330369",
            "telephone_number": "860-739-6259",
            "fax_number": "860-739-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CHESTERFIELD RD",
            "address_2": "SUITE 206",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331730",
            "telephone_number": "869-739-6259",
            "fax_number": "860-739-6429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACHOWSKI",
        "first_name": "CHRISTOPHER",
        "middle_name": "ZBIGNIEW",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "000714",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "CT",
            "license": "000714",
            "primary": false
        },
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "CT",
            "license": "000714",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "000714",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lyme, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.