Individual provider Active NPI

Jonathan Charlestin, DC

  • Chiropractor
  • Rocky Hill, CT
National Provider Identifier
1316598345
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2166 Issued in CT
Practice address
2080 Silas Deane Hwy FL 3
Rocky Hill, CT 06067-2334
Phone
(860) 257-7448
NPI assigned
Sep 20, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2166 CT Primary

Addresses

Primary practice location

2080 Silas Deane Hwy FL 3
Rocky Hill, CT 06067-2334

Mailing address

4 Lenox Ave
Stratford, CT 06615-5606
Phone (203) 526-6577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Charlestin Chiropractic Chiropractor Current Accepting new patients

Locations

1825 Barnum Ave
Ste 304
Stratford, CT 06614
Phone (203) 375-5782

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1316598345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LENOX AVE",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066155606",
            "telephone_number": "203-526-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 SILAS DEANE HWY FL 3",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060672334",
            "telephone_number": "860-257-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLESTIN",
        "first_name": "JONATHAN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "2166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Hill, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.