David William McMullen, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1093 Issued in CT

Practice address

48 Main St
Windsor Locks, CT 06096-2326

Phone

(860) 627-5230

Fax

(860) 627-9283

NPI assigned

Sep 3, 2006

Last updated

Sep 27, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Chiropractic Health Centers, LLC

  • Chiropractor
  • Windsor Locks, CT
  • NPI 1154621365
  Authorized official Same address or phone

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

{
    "created_epoch": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1184726747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 MAIN ST",
            "city": "WINDSOR LOCKS",
            "state": "CT",
            "postal_code": "060962326",
            "telephone_number": "860-627-5230",
            "fax_number": "860-627-9283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 MAIN ST",
            "city": "WINDSOR LOCKS",
            "state": "CT",
            "postal_code": "060962326",
            "telephone_number": "860-627-5230",
            "fax_number": "860-627-9283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMULLEN",
        "first_name": "DAVID",
        "middle_name": "WILLIAM",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-03",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "1093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004136439",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "350001218",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Elizabeth Martin
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• Nehemie Moise Jimerson, LCSW
• Fotios Moumoulidis, D.M.D.
• New England Physical Therapy Services, P.C.
• Newport Bickford Inc. (Bickford Health Care Center)

• Chiropractor in Windsor Locks, CT
• Providers in Windsor Locks, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.