Organization Active NPI

Denise Fernandez LLC

  • Chiropractor
  • Ridgefield, CT
National Provider Identifier
1235454562
Registry record updated Apr 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DENISE FERNANDEZ LLC
Practice address
15 Danbury Rd
Ridgefield, CT 06877-4067
Phone
(203) 431-8340
Fax
(203) 438-9058
NPI assigned
Mar 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2010

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

Authorized official

Name
Dr. Denise Fernandez, DC
Title
Owner
Phone
(203) 431-8340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

15 Danbury Rd
Ridgefield, CT 06877-4067

Mailing address

15 Danbury Rd
Ridgefield, CT 06877-4067
Phone (203) 431-8340

Other identifiers 1

IdentifierTypeStateIssuer
004191897MedicaidCT

National Provider Directory

National Provider Directory

Locations

51 East Ave
Ste 1
Norwalk, CT 06851
Phone (203) 939-1000

NPI Registry JSON

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270598400000",
    "number": "1235454562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 DANBURY RD",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774067",
            "telephone_number": "203-431-8340",
            "fax_number": "203-438-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 DANBURY RD",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774067",
            "telephone_number": "203-431-8340",
            "fax_number": "203-438-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENISE FERNANDEZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-30",
        "last_updated": "2010-04-07",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-431-8340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004191897",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; 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.