Individual provider Active NPI

Lewis Reynold Labbadia, DC

  • Chiropractor
  • Middletown, CT
National Provider Identifier
1154400968
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
000186 Issued in CT
Practice address
909 Newfield Street
Middletown, CT 06457-1817
Phone
(860) 632-1022
Fax
(860) 635-9501
NPI assigned
Nov 3, 2006
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 000186 CT Primary

Addresses

Primary practice location

909 Newfield Street
Middletown, CT 06457-1817

Mailing address

909 Newfield Street
Middletown, CT 06457-1817
Phone (860) 632-1022

Other identifiers 2

IdentifierTypeStateIssuer
060319OtherCTCONNECTI CARE HMO
050000186CT01OtherCTBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120130000532 CT Practitioner - Chiropractic 8224104161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1977
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

909 Newfield St
Middletown, CT 06457-1817
Phone (860) 632-1022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Labbadia Carroccia Chiropractic Offices, PC Chiropractor CurrentSince Oct 1, 1984 Accepting new patients
Middlesex Hospital Past Accepting new patients
Owens Chiropractic Physicians, P.C. PastSince Aug 28, 2007 Accepting new patients

Locations

909 Newfield St
Middletown, CT 06457
Phone (860) 632-1022

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154400968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 NEWFIELD STREET",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064571817",
            "telephone_number": "860-632-1022",
            "fax_number": "860-635-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 NEWFIELD STREET",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064571817",
            "telephone_number": "860-632-1022",
            "fax_number": "860-635-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABBADIA",
        "first_name": "LEWIS",
        "middle_name": "REYNOLD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "000186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTI CARE HMO",
            "identifier": "060319",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "050000186CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, 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.