Individual provider Active NPI

David Lloyd Tolk, DC

  • Chiropractor
  • Weatogue, CT
National Provider Identifier
1235289315
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001705 Issued in CT
Practice address
102 Hopmeadow St
Weatogue, CT 06089-9602
Phone
(860) 651-3521
NPI assigned
Jan 11, 2007
Last updated
Feb 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 001705 CT Primary

Addresses

Primary practice location

102 Hopmeadow St
Weatogue, CT 06089-9602

Mailing address

102 Hopmeadow St
Weatogue, CT 06089-9602
Phone (860) 651-3521

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210302000786 CT Practitioner - Chiropractic 6507165602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

111 Simsbury Rd
Suite 1a
Avon, CT 06001-3763
Phone (860) 325-2993

111 Simsbury Rd
Suite 1a
Avon, CT 06001-3785

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001705CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
DTDC LLC Chiropractor CurrentSince Jan 24, 2022 Accepting new patients

Locations

111 Simsbury Rd
Ste 1A
Avon, CT 06001
Phone (860) 325-2993

102 Hopmeadow St
Weatogue, CT 06089
Phone (860) 651-3521

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1235289315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 HOPMEADOW ST",
            "city": "WEATOGUE",
            "state": "CT",
            "postal_code": "060899602",
            "telephone_number": "860-651-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 HOPMEADOW ST",
            "city": "WEATOGUE",
            "state": "CT",
            "postal_code": "060899602",
            "telephone_number": "860-651-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLK",
        "first_name": "DAVID",
        "middle_name": "LLOYD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatogue, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.