Active NPI
Stephen M Wrinn, DC
- Chiropractor
- Durham, CT
National Provider Identifier
1316019797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 000818
- Practice address
- 360 Main St
Suite a
Durham, CT 06422-1644 - Phone
- (860) 349-2070
- Fax
- (860) 349-2080
- NPI assigned
- Nov 14, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 000818 | CT | Primary |
Addresses
Primary practice location
360 Main St
Suite a
Durham, CT 06422-1644
Mailing address
PO Box 209
Durham, CT 06422-0209
Phone (860) 349-2070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111115000505 | CT | Practitioner - Chiropractic | 8921272642 | Practice locations: Durham, CT |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
360 Main St
Durham, CT 06422-1644
Phone (860) 349-2070
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000818 | CT | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325116800000",
"number": "1316019797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 209",
"city": "DURHAM",
"state": "CT",
"postal_code": "064220209",
"telephone_number": "860-349-2070",
"fax_number": "860-349-2080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 MAIN ST",
"address_2": "SUITE A",
"city": "DURHAM",
"state": "CT",
"postal_code": "064221644",
"telephone_number": "860-349-2070",
"fax_number": "860-349-2080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRINN",
"first_name": "STEPHEN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2011-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CT",
"license": "000818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.