Evolution Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

001962 Issued in CT

Legal business name

EVOLUTION CHIROPRACTIC, LLC

Practice address

94 Locust Ave
Danbury, CT 06810-6032

Phone

(203) 830-3003

Fax

(203) 830-3008

NPI assigned

Jul 13, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Shawn B Carlin, D.C.NPI 1700264694

Title

Chiropractor

Phone

(203) 830-3003

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shawn Carlin, DC

  • Chiropractor
  • Bronx, NY
  • NPI 1700264694

  CT

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436745600000",
    "number": "1285018937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 LOCUST AVE",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106032",
            "telephone_number": "203-830-3003",
            "fax_number": "203-830-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 LOCUST AVE",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106032",
            "telephone_number": "203-830-3003",
            "fax_number": "203-830-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-13",
        "last_updated": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "CARLIN",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "203-830-3003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Estabrook, M.D.
• Jacques Edouard Etienne, M.D., F.A.A.P
• Joyce Lynn Eum
• Everbless Solutions LLC
• Todd Everett, MD
• Evolve Foot and Woundcare
• Angela Fabian
• Ava Fabian, PA-C
• Face the Fight With Faith
• Daniel Facer

• Chiropractor in Danbury, CT
• Providers in Danbury, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.