NPIMap

Organization Active NPI

Holistic Chiropractic Wellness Center

  • Chiropractor
  • Newington, CT
National Provider Identifier
1255684015
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1698 Issued in CT
Legal business name
HOLISTIC CHIROPRACTIC WELLNESS CENTER
Practice address
66 Cedar St Ste 301
Newington, CT 06111-2646
Phone
(860) 680-5684
NPI assigned
Oct 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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

Authorized official

Name
Dr. Manal Mena, D.C.
Title
President
Phone
(860) 680-5684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1698 CT Primary

Addresses

Primary practice location

66 Cedar St Ste 301
Newington, CT 06111-2646

Mailing address

66 Cedar St Ste 301
Newington, CT 06111-2646
Phone (860) 680-5684

National Provider Directory

National Provider Directory

Locations

66 Cedar St
Ste 301
Newington, CT 06111
Phone (860) 372-4429

NPI Registry JSON

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1255684015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 CEDAR ST STE 301",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112646",
            "telephone_number": "860-680-5684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 CEDAR ST STE 301",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112646",
            "telephone_number": "860-680-5684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC CHIROPRACTIC WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "MENA",
        "authorized_official_first_name": "MANAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-680-5684",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "1698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.