NPIMap

Organization Active NPI

Capitol Chiropractic Center LLC

  • Chiropractor
  • Hartford, CT
National Provider Identifier
1144475245
Registry record updated Mar 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001584 Issued in CT
Legal business name
CAPITOL CHIROPRACTIC CENTER LLC
Practice address
24 Lewis St
Hartford, CT 06103-2501
Phone
(860) 278-9141
Fax
(860) 525-4013
NPI assigned
Nov 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2012

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

Authorized official

Name
Dr. Karlos Boghosian, D.CNPI 1104999291
Title
Doctor
Phone
(860) 278-9141

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 001584 CT Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 001652 CT
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 001779 CT

Addresses

Primary practice location

24 Lewis St
Hartford, CT 06103-2501

Mailing address

24 Lewis St
Hartford, CT 06103-2501
Phone (860) 278-9141

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140829000316 CT Part B Supplier - Clinic/Group Practice 3577781715 Receives reassigned benefits from 2 practitioners
Practice locations: Hartford, CT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332720000000",
    "number": "1144475245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 LEWIS ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061032501",
            "telephone_number": "860-278-9141",
            "fax_number": "860-525-4013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 LEWIS ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061032501",
            "telephone_number": "860-278-9141",
            "fax_number": "860-525-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-18",
        "last_updated": "2012-03-26",
        "status": "A",
        "authorized_official_last_name": "BOGHOSIAN",
        "authorized_official_first_name": "KARLOS",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "860-278-9141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001584",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001652",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001779",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; 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.