James David Gaudreau, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1966 Issued in CT

Practice address

160 Route 171
Woodstock, CT 06281-3123

Phone

(860) 963-2289

NPI assigned

Mar 4, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Griswold Chiropractic, LLC

  • Chiropractor
  • Griswold, CT
  • NPI 1982098059
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393891200000",
    "number": "1134544844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 ROUTE 171",
            "city": "WOODSTOCK",
            "state": "CT",
            "postal_code": "062813123",
            "telephone_number": "860-963-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 ROUTE 171",
            "city": "WOODSTOCK",
            "state": "CT",
            "postal_code": "062813123",
            "telephone_number": "860-963-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUDREAU",
        "first_name": "JAMES",
        "middle_name": "DAVID",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "1966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Deary, MS., CCC-SLP
• Deborah Deschamps
• Aimee Eggleston
• First and Next Step Nutrition LLC
• Julie Dyckman Francis, RD, LDN
• Sonia M. Greene, PH.D.
• Arminda Hudon, MSCCC SLP
• Joli Jensen, LCSW
• Martha Story Jones
• Rose Kihara, APRN

• Chiropractor in Woodstock, CT
• Providers in Woodstock, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; 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.