Individual provider Active NPI

Gregory Hom, D.C.

  • Chiropractor
  • New Haven, CT
National Provider Identifier
1174912125
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2028 Issued in CT
Practice address
57 Orange St
New Haven, CT 06510-3150
Phone
(203) 376-7726
Fax
(203) 541-0471
NPI assigned
Jan 14, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X012626 NY
Chiropractor 111N00000X 2028 CT Primary

Addresses

Primary practice location

57 Orange St
New Haven, CT 06510-3150

Mailing address

57 Orange St
New Haven, CT 06510-3150
Phone (203) 376-7726

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
X012626NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Sports Clinic LLC CurrentSince Sep 27, 2020 Accepting new patients

Locations

57 Orange St
New Haven, CT 06510
Phone (203) 376-7726

Organizations & group practices 1

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": "1421193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1174912125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 ORANGE ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103150",
            "telephone_number": "203-376-7726",
            "fax_number": "203-541-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 ORANGE ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103150",
            "telephone_number": "203-376-7726",
            "fax_number": "203-541-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOM",
        "first_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-14",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012626",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "2028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.