Meriden Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

000854 Issued in CT

Legal business name

MERIDEN CHIROPRACTIC, LLC

Practice address

693 Broad St
Meriden, CT 06450-4341

Phone

(203) 440-9686

Fax

(203) 440-9689

NPI assigned

Jul 26, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Steven J Odonnell, DCNPI 1669529962

Title

Member

Phone

(203) 440-9686

Specialties & licenses 1

Addresses

Other names 1

• Meriden Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 2

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

• Steven Joseph O'Donnell, DC

  • Sports Physician Chiropractor
  • Meriden, CT
  • NPI 1669529962
  Medicare reassignment Authorized official
• Steven Dmitri O'Donnell, DC

  • Chiropractor
  • Meriden, CT
  • NPI 1457062267
  Medicare reassignment

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1154634665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "693 BROAD ST",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064504341",
            "telephone_number": "203-440-9686",
            "fax_number": "203-440-9689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "693 BROAD ST",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064504341",
            "telephone_number": "203-440-9686",
            "fax_number": "203-440-9689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDEN CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-26",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "ODONNELL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "203-440-9686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "000854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meriden Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Ghartey Mensah, APRN
• Meriden Adult and Children'S PC
• Meriden Board of Education
• Meriden Care Center LLC
• Meriden Care Center LLC
• Meriden Eye Care, LLC
• Meriden Health and Rehab LLC
• Meriden Health Care Center Inc
• Meriden Health Care LLC
• Meriden Opco LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.