Spine and Sports Chiropractic Care of Connecticut, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

001504 Issued in CT

Legal business name

SPINE AND SPORTS CHIROPRACTIC CARE OF CONNECTICUT, LLC

Practice address

220 Farmington Ave
Farmington, CT 06032-1949

Phone

(860) 269-3225

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Eric Henry Vincent, D.C.NPI 1710949524

Title

President

Phone

(860) 269-3225

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 1

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

• Eric Henry Vincent, DC

  • Chiropractor
  • Farmington, CT
  • NPI 1710949524
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382227200000",
    "number": "1184777666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 E HILL RD",
            "city": "CANTON",
            "state": "CT",
            "postal_code": "060192119",
            "telephone_number": "860-693-8567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321949",
            "telephone_number": "860-269-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE AND SPORTS CHIROPRACTIC CARE OF CONNECTICUT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2013-10-20",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-269-3225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "C03646",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Spencer
• Kendra Spencer, LCSW
• Rachel Sperry, BCBA, LBA
• Spine & Pain Centers of Connecticut PC
• Spine & Pain Rehabilitation Center, P.C.
• Jeffery Spiro, MD
• Beth Ann Springate, PH.D.
• Allison Ann Squillante, MD
• Gaddamanugu Sriram, DO
• Prarthna Srivastava

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2013; 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.