Organization Active NPI

CT Junction Chiropractic

  • Chiropractor
  • Waterbury, CT
National Provider Identifier
1134799141
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CT JUNCTION CHIROPRACTIC
Practice address
93 Meriden Rd Unit 2
Waterbury, CT 06705-1933
Phone
(203) 490-9173
NPI assigned
Jun 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Authorized official

Name
Dr. Andrew Rocha, DCNPI 1386214724
Title
Owner
Phone
(203) 490-9173

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Neurology ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NN0400X

Addresses

Primary practice location

93 Meriden Rd Unit 2
Waterbury, CT 06705-1933

Mailing address

190 Stonybrook LN
Watertown, CT 06795-1033
Phone (203) 490-9173

Other names 1

  • CT Junction Brain & Spine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210908000960 CT Part B Supplier - Clinic/Group Practice 5395141923 Receives reassigned benefits from 2 practitioners
Practice locations: Waterbury, CT

National Provider Directory

National Provider Directory

Locations

93 Meriden Rd
#2
Waterbury, CT 06705
Phone (203) 490-9173

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629072000000",
    "number": "1134799141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 STONYBROOK LN",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067951033",
            "telephone_number": "203-490-9173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 MERIDEN RD UNIT 2",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067051933",
            "telephone_number": "203-490-9173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CT JUNCTION CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A",
        "authorized_official_last_name": "ROCHA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-490-9173",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Neurology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CT Junction Brain & Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.