New Haven Chiropractic & Sports Rehabilitation LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2028 Issued in CT

Legal business name

NEW HAVEN CHIROPRACTIC & SPORTS REHABILITATION LLC

Practice address

1213 Chapel St
New Haven, CT 06511-4701

Phone

(203) 376-7726

Fax

(347) 823-1718

NPI assigned

Sep 15, 2016

Last updated

Sep 15, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gregory Hom, D.C.NPI 1174912125

Title

Owner

Phone

(203) 376-7726

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregory Hom, D.C.

  • Chiropractor
  • New Haven, CT
  • NPI 1174912125
  Authorized official Same address or phone

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473897600000",
    "number": "1245788512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 CHAPEL ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065114701",
            "telephone_number": "203-376-7726",
            "fax_number": "347-823-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 CHAPEL ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065114701",
            "telephone_number": "203-376-7726",
            "fax_number": "347-823-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HAVEN CHIROPRACTIC & SPORTS REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-15",
        "last_updated": "2016-09-15",
        "status": "A",
        "authorized_official_last_name": "HOM",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-376-7726",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "2028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in New Haven, CT
• Providers in New Haven, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; 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.