Individual provider Active NPI

Kyle Jeffrey Robert Zeppieri, DC

  • Chiropractor
  • Groton, CT
National Provider Identifier
1215785373
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2320 Issued in CT
Practice address
1353 Gold Star Hwy Ste 106
Groton, CT 06340-2755
Phone
(860) 859-7221
Fax
(860) 326-5728
NPI assigned
May 13, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2320 CT Primary

Addresses

Primary practice location

1353 Gold Star Hwy Ste 106
Groton, CT 06340-2755

Mailing address

1353 Gold Star Hwy Ste 106
Groton, CT 06340-2755
Phone (860) 859-7221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250110000807 CT Practitioner - Chiropractic 7719415330 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East West Chiropractic, LLCGroup PAC ID 8426017898, 3 clinicians

Practice addresses (Care Compare)

1353 Gold Star Hwy 106
Groton, CT 06340-2755
Phone (860) 446-9700

774 Broad St Ext
Waterford, CT 06385-1303
Phone (860) 444-6363

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ewcw LLC Chiropractor CurrentSince Oct 13, 2025 Accepting new patients
Eastern Shore Chiropractic Center, L.L.C. Chiropractor CurrentSince Oct 13, 2025 Accepting new patients
East West Chiropractic, LLC Chiropractor CurrentSince Dec 4, 2024 Accepting new patients

Locations

1353 Gold Star Hwy
Ste 106
Groton, CT 06340
Phone (860) 326-5869

774 Broad Street Ext
#2
Waterford, CT 06385

774 Broad Street Ext
Waterford, CT 06385
Phone (860) 444-6363

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1215785373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 GOLD STAR HWY STE 106",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063402755",
            "telephone_number": "860-859-7221",
            "fax_number": "860-326-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1353 GOLD STAR HWY STE 106",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063402755",
            "telephone_number": "860-859-7221",
            "fax_number": "860-326-5728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEPPIERI",
        "first_name": "KYLE",
        "middle_name": "JEFFREY ROBERT",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "2320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.