Erik G Lemoullec DC LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1765 Issued in CT

Legal business name

ERIK G LEMOULLEC DC LLC

Doing business as

Back to Health Chiropractic and Acupuncture

Practice address

3 Pomperaug Office Park Ste 103
Southbury, CT 06488-2287

Phone

(203) 263-0411

Fax

(203) 841-1012

NPI assigned

Nov 30, 2011

Last updated

Jan 21, 2020By 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

Mr. Erik Gilles Lemoullec, D.C., FCAMINPI 1811159056

Title

Chiropractor/Owner

Phone

(203) 263-0411

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Back to Health Chiropractic and Acupuncture Doing business as

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

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.

• Erik Gilles Lemoullec, D.C., FCAMI

  • Chiropractor
  • Southbury, CT
  • NPI 1811159056
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1184991598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SHERMAN HILL RD",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "067983647",
            "telephone_number": "203-263-0411",
            "fax_number": "203-841-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 POMPERAUG OFFICE PARK STE 103",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882287",
            "telephone_number": "203-263-0411",
            "fax_number": "203-841-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIK G LEMOULLEC DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "LEMOULLEC",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "GILLES",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "203-263-0411",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C., FCAMI"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "1765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008043787",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER ID",
            "identifier": "D400000897",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER ID",
            "identifier": "D400595471",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back to Health Chiropractic and Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Back to Health Chiropractic and Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; 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.