Qendresa Qeriqi, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

002209 Issued in CT

Practice address

387 Merrow Rd
Tolland, CT 06084-3935

Phone

(860) 454-0942

NPI assigned

Feb 3, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cutting Edge Chiropractic LLCGroup PAC ID 4082927017, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cutting Edge Chiropractic LLC

  dba Cutting Edge Chiropractic

  • Chiropractor
  • Tolland, CT
  • NPI 1518369552
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1114518990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 MERROW RD",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "060843935",
            "telephone_number": "860-454-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 MERROW RD",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "060843935",
            "telephone_number": "860-454-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QERIQI",
        "first_name": "QENDRESA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "002206",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X013411-01",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "002209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Procaccini
• Professional Dental Alliance of Tolland, PLLC (Life Long Dental Care of Tolland)
• Prospect Echn Eldercare Services, Inc.
• Sarah Provencher
• Michelle Puzzo, PT
• Marcy Celeste Racicot, OTR/L
• Aaron Radden, LMFT
• Amy L Rapone, MS, RD, CDN
• RC Medical, Inc.
• Sara Reed, MS

• 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 Feb 3, 2021; 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.