New Canaan Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CT001042 Issued in CT

Legal business name

NEW CANAAN CHIROPRACTIC LLC

Practice address

111 Elm St
New Canaan, CT 06840-5419

Phone

(203) 966-9777

Fax

(203) 966-0778

NPI assigned

Mar 15, 2017

Last updated

Mar 15, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bradley A Williams, D.C.NPI 1629135967

Title

Member, Duly Authorized

Phone

(203) 966-9777

Specialties & licenses 3

Addresses

Other identifiers 2

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, and the practitioner matching its NPPES authorized official.

• Bradley Alan Williams, D.C.

  • Nutrition Chiropractor
  • New Canaan, CT
  • NPI 1629135967

  Neurology

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1316488927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ELM ST",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068405419",
            "telephone_number": "203-966-9777",
            "fax_number": "203-966-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ELM ST",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068405419",
            "telephone_number": "203-966-9777",
            "fax_number": "203-966-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW CANAAN CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-15",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER, DULY AUTHORIZED",
        "authorized_official_telephone_number": "203-966-9777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "CT001042",
            "primary": true
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "CT",
            "license": "CT001042",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "CT",
            "license": "CT001042",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004127123",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P420681",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tammy Moscrip, PHD, MSW
• Diane Murphy-Kivell, ATC
• Keriann Mussi
• My Acorn Therapy, PLLC
• My Catholic Doctor, P.L.L.C. (MyCatholicDoctor)
• New Canaan Dental Arts PLLC
• New Canaan Group Home Inc
• New Canaan Internal Medicine LLC
• New Canaan Medical Group PC
• New Canaan Ophthalmology LLC

• Chiropractor in New Canaan, CT
• Providers in New Canaan, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.