Oemcke Chiropractic/Acupuncture Center,LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

992 Issued in CT

Legal business name

OEMCKE CHIROPRACTIC/ACUPUNCTURE CENTER,LLC

Practice address

10 Main St S
Southbury, CT 06488-2260

Phone

(203) 267-4464

Fax

(203) 267-4468

NPI assigned

Nov 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Glen Peter Oemcke, D.C.NPI 1700980331

Title

Owner

Phone

(203) 267-4464

Specialties & licenses 1

Addresses

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.

• Glen Peter Oemcke, D.C.

  • Chiropractor
  • Southbury, CT
  • NPI 1700980331
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1215117486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MAIN ST S",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882260",
            "telephone_number": "203-267-4464",
            "fax_number": "203-267-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MAIN ST S",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882260",
            "telephone_number": "203-267-4464",
            "fax_number": "203-267-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OEMCKE CHIROPRACTIC/ACUPUNCTURE CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "OEMCKE",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-267-4464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn J O'Connor, MD
• Kimberly O'Connor, LMFT
• Elisabeth O'Dell
• Amy I O'Donnell, M.D.
• Odin de Los Reyes DPM Inc
• Glen Peter Oemcke, D.C.
• Paolo Olcese, MD
• Old Oak Primary Care, P.C.
• Opticare Eye Health Centers, Inc.
• Optimum Performance Therapeutic Massage & Bodywork LLC

• 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 Nov 5, 2007; 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.