Individual provider Active NPI

Toitanisha J. Witherspoon, DC

  • Chiropractor
  • Hartford, CT
National Provider Identifier
1174812234
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001763 Issued in CT
Practice address
175 Main St FL 2
Hartford, CT 06106-1818
Phone
(860) 240-4316
NPI assigned
Mar 29, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 001763 CT Primary

Addresses

Primary practice location

175 Main St FL 2
Hartford, CT 06106-1818

Mailing address

175 Main St FL 2
Hartford, CT 06106-1818
Phone (860) 240-4316

Other practice location 1

105 Hungerford St
Hartford, CT 06106-4627
Phone (860) 524-8955

Other names 1

  • Toitanisha J Gordon Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
001763CTMDSurgical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1174812234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 MAIN ST FL 2",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061061818",
            "telephone_number": "860-240-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MAIN ST FL 2",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061061818",
            "telephone_number": "860-240-4316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Hungerford St",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061064627",
            "country_code": "US",
            "telephone_number": "860-524-8955",
            "fax_number": "860-524-8636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITHERSPOON",
        "first_name": "TOITANISHA",
        "middle_name": "J.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-29",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TOITANISHA",
            "last_name": "GORDON",
            "middle_name": "J",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.