NPIMap

Organization Active NPI

Konecny Chiropractic Centers LLC

  • Chiropractor
  • Bridgeport, CT
National Provider Identifier
1306078555
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
000762 Issued in CT
Legal business name
KONECNY CHIROPRACTIC CENTERS LLC
Practice address
2140 Park Ave
Bridgeport, CT 06604-1915
Phone
(203) 334-4448
Fax
(203) 333-1828
NPI assigned
Aug 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

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

Authorized official

Name
Dr. Jonathan P Konecny, DCNPI 1245364017
Title
Doctor
Phone
(203) 334-4448

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 000762 CT Primary

Addresses

Primary practice location

2140 Park Ave
Bridgeport, CT 06604-1915

Mailing address

2140 Park Ave
Bridgeport, CT 06604-1915
Phone (203) 334-4448

National Provider Directory

National Provider Directory

Locations

2140 Park Ave
Bridgeport, CT 06604
Phone (203) 334-4448

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": "1250726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250726400000",
    "number": "1306078555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 PARK AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066041915",
            "telephone_number": "203-334-4448",
            "fax_number": "203-333-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 PARK AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066041915",
            "telephone_number": "203-334-4448",
            "fax_number": "203-333-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONECNY CHIROPRACTIC CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-20",
        "status": "A",
        "authorized_official_last_name": "KONECNY",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "203-334-4448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "000762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; 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.