Individual provider Active NPI

Alfred Borges Furtado, D.C.

  • Chiropractor
  • Guilford, CT
National Provider Identifier
1154344885
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001647 Issued in CT
Practice address
2415 Boston Post Rd
Unit 11
Guilford, CT 06437-4348
Phone
(203) 453-2001
Fax
(203) 453-2010
NPI assigned
Jul 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 001647 CT Primary

Addresses

Primary practice location

2415 Boston Post Rd
Unit 11
Guilford, CT 06437-4348

Mailing address

2415 Boston Post Rd
Unit 11
Guilford, CT 06437-4348
Phone (203) 453-2001

Other identifiers 5

IdentifierTypeStateIssuer
11513740OtherCTCAQH
691498OtherCTACN
7165761OtherCTAETNA
CT001647OtherCTLANDMARK/HEALTHNET
05-0001647CT01OtherCTANTHEM BLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060117000258 CT Practitioner - Chiropractic 7719901826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

47 Clapboard Hill Rd
Suite 1
Guilford, CT 06437-2282
Phone (203) 453-2001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1647CTMDNutritionist
001647CTMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Allison B Resnick D.C. LLC Chiropractor CurrentSince Mar 26, 2014 Accepting new patients
Shoreline Spine & Pain Associates, P.C. Chiropractor Past Accepting new patients

Locations

47 Clapboard Hill Rd
Ste 1
Guilford, CT 06437
Phone (203) 453-1051

5 Durham Rd
Ste C5
Guilford, CT 06437
Phone (203) 453-1051

Organizations & group practices 3

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154344885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 BOSTON POST RD",
            "address_2": "UNIT 11",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064374348",
            "telephone_number": "203-453-2001",
            "fax_number": "203-453-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 BOSTON POST RD",
            "address_2": "UNIT 11",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064374348",
            "telephone_number": "203-453-2001",
            "fax_number": "203-453-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURTADO",
        "first_name": "ALFRED",
        "middle_name": "BORGES",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11513740",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "691498",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7165761",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LANDMARK/HEALTHNET",
            "identifier": "CT001647",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "05-0001647CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guilford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.