Individual provider Active NPI

David Craig Waltzer, DC

  • Chiropractor
  • Danbury, CT
National Provider Identifier
1114565033
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
000724 Issued in CT
Practice address
132 Federal Rd Ste 103
Danbury, CT 06811-4099
Phone
(203) 778-2225
Fax
(203) 778-0591
NPI assigned
Dec 11, 2019
Last updated
Dec 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 000724 CT Primary

Addresses

Primary practice location

132 Federal Rd Ste 103
Danbury, CT 06811-4099

Mailing address

132 Federal Rd Ste 103
Danbury, CT 06811-4099
Phone (203) 778-2225

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
000724CTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neuropathy Treatment Center LLC CurrentSince Nov 17, 2020 Accepting new patients
Modern Vascular, PLLC CurrentSince Mar 1, 2022 Accepting new patients
Neuropathy and Regenerative Medicine Associates Corp CurrentSince Nov 1, 2021 Accepting new patients
Advanced Pain and Regenerative Medical Solutions Corp PastSince Jul 24, 2023 Accepting new patients

Locations

132 Federal Rd
Ste 103
Danbury, CT 06811
Phone (203) 730-1166

132 Federal Rd
Ste 107
Danbury, CT 06811
Phone (203) 470-9156

Organizations & group practices 4

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": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1114565033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 FEDERAL RD STE 103",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068114099",
            "telephone_number": "203-778-2225",
            "fax_number": "203-778-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 FEDERAL RD STE 103",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068114099",
            "telephone_number": "203-778-2225",
            "fax_number": "203-778-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTZER",
        "first_name": "DAVID",
        "middle_name": "CRAIG",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-11",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "000724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.