Individual provider Active NPI

Damian Eric Ortelli, D.C.

  • Chiropractor
  • Stamford, CT
National Provider Identifier
1245347400
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CT0001613 Issued in CT
Practice address
1435 Bedford Street
Suite 1R
Stamford, CT 06905-5225
Phone
(203) 348-8383
Fax
(203) 961-1567
NPI assigned
Aug 24, 2006
Last updated
Jul 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 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 CT0001613 CT Primary

Addresses

Primary practice location

1435 Bedford Street
Suite 1R
Stamford, CT 06905-5225

Mailing address

1435 Bedford Street
Suite 1R
Stamford, CT 06905-5225
Phone (203) 348-8383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CT0001613CTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dream Adjustments, LLC Chiropractor Past Accepting new patients

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1245347400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 BEDFORD STREET",
            "address_2": "SUITE 1R",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055225",
            "telephone_number": "203-348-8383",
            "fax_number": "203-961-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 BEDFORD STREET",
            "address_2": "SUITE 1R",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055225",
            "telephone_number": "203-348-8383",
            "fax_number": "203-961-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTELLI",
        "first_name": "DAMIAN",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "CT0001613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.