Active NPI
Keith Scott Overland, D.C.
- Sports Physician Chiropractor
- Norwalk, CT
National Provider Identifier
1265442834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 333
- Practice address
- 83 East Ave Ste 313
Norwalk, CT 06851-4902 - Phone
- (203) 838-9795
- Fax
- (203) 853-2078
- NPI assigned
- Aug 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 333 | CT | Primary |
Addresses
Primary practice location
83 East Ave Ste 313
Norwalk, CT 06851-4902
Mailing address
83 East Ave Ste 313
Norwalk, CT 06851-4902
Phone (203) 838-9795
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
83 E Ave
Suite 313
Norwalk, CT 06851-4919
Phone (203) 838-9795
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326240000000",
"number": "1265442834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "83 EAST AVE STE 313",
"city": "NORWALK",
"state": "CT",
"postal_code": "068514902",
"telephone_number": "203-838-9795",
"fax_number": "203-853-2078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "83 EAST AVE STE 313",
"city": "NORWALK",
"state": "CT",
"postal_code": "068514902",
"telephone_number": "203-838-9795",
"fax_number": "203-853-2078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OVERLAND",
"first_name": "KEITH",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2012-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CT",
"license": "333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.