Doctor R Mark Pappas, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

000575 Issued in CT

Legal business name

DOCTOR R MARK PAPPAS, PC

Practice address

299 Main St
West Haven, CT 06516-7307

Phone

(203) 937-7246

Fax

(203) 931-9266

NPI assigned

Aug 5, 2007

Last updated

Nov 16, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Roger Mark Pappas, D.C.NPI 1992806475

Title

Owner

Phone

(203) 937-7246

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pappas Chiropractic Center Former legal business name

Locations

Practitioners 1

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.

• Roger Mark Pappas, D.C.

  • Occupational Health Chiropractor
  • West Haven, CT
  • NPI 1992806475
  Authorized official Same address or phone

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1184815219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 MAIN ST",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065167307",
            "telephone_number": "203-937-7246",
            "fax_number": "203-931-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 MAIN ST",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065167307",
            "telephone_number": "203-937-7246",
            "fax_number": "203-931-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR R MARK PAPPAS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "PAPPAS",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-937-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "000575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "050000575CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pappas Chiropractic Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Amanda L Diehl Lelyveld, MS, NCC
• Karen Ann Discepolo, NP
• Kelsey Discepolo, LCSW
• George L Discher, DMD
• Divine Vission Homecare LLC
• Michelle Janet Donna, M.S., CCC-A
• Renee Donnarumma, MSN, APRN
• George Alexander Donoso, R.P.H
• Susan J Donovan, APRN
• Sylvester Dorobisz, MD

• Chiropractor in West Haven, CT
• Providers in West Haven, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.