Organization Active NPI

Hebron Chiropractic Center LLC

  • Chiropractor
  • Hebron, CT
National Provider Identifier
1184801797
Registry record updated Jan 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001695 Issued in CT
Legal business name
HEBRON CHIROPRACTIC CENTER LLC
Practice address
10 Pendleton Dr
Hebron, CT 06248-1525
Phone
(860) 228-1441
Fax
(860) 228-4475
NPI assigned
Jan 25, 2008
Last updated
Jan 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2008

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

Authorized official

Name
Dr. Justin Ronald Tremblay, DCNPI 1649465998
Title
Owner
Phone
(860) 228-1441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 001695 CT Primary

Addresses

Primary practice location

10 Pendleton Dr
Hebron, CT 06248-1525

Mailing address

10 Pendleton Dr
PO Box 56
Hebron, CT 06248-1525
Phone (860) 228-1441

National Provider Directory

National Provider Directory

Locations

10 Pendleton Dr
Hebron, CT 06248
Phone (860) 228-1441

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1184801797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PENDLETON DR",
            "address_2": "PO BOX 56",
            "city": "HEBRON",
            "state": "CT",
            "postal_code": "062481525",
            "telephone_number": "860-228-1441",
            "fax_number": "860-228-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PENDLETON DR",
            "city": "HEBRON",
            "state": "CT",
            "postal_code": "062481525",
            "telephone_number": "860-228-1441",
            "fax_number": "860-228-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEBRON CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2008-01-25",
        "status": "A",
        "authorized_official_last_name": "TREMBLAY",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-228-1441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hebron, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; 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.