Organization Active NPI

Rizza Chiropractic and Wellness, LLC

  • Point of Service
  • Middlebury, CT
National Provider Identifier
1326469057
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
001902 Issued in CT
Legal business name
RIZZA CHIROPRACTIC AND WELLNESS, LLC
Practice address
590 Middlebury Rd
Suite B
Middlebury, CT 06762-2562
Phone
(203) 577-2095
Fax
(203) 577-2098
NPI assigned
Dec 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Authorized official

Name
Dr. Jason P Rizza, D.C. M.S.NPI 1538439237
Title
Owner
Phone
(203) 577-2095

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
Point of Service 305S00000X 001902 CT Primary

Addresses

Primary practice location

590 Middlebury Rd
Suite B
Middlebury, CT 06762-2562

Mailing address

590 Middlebury Rd
Suite B
Middlebury, CT 06762-2562
Phone (203) 577-2095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161028001179 CT Part B Supplier - Clinic/Group Practice 4284912031 Receives reassigned benefits from 1 practitioner
Practice locations: Middlebury, CT

National Provider Directory

National Provider Directory

Locations

1255 Middlebury Rd
Middlebury, CT 06762
Phone (203) 528-3972

590 Middlebury Rd
Ste B
Middlebury, CT 06762
Phone (203) 577-2095

1044 Main St
Ste 11
Watertown, CT 06795

Practitioners & affiliated clinicians

Practitioners 4

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": "1387843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1326469057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 MIDDLEBURY RD",
            "address_2": "SUITE B",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067622562",
            "telephone_number": "203-577-2095",
            "fax_number": "203-577-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 MIDDLEBURY RD",
            "address_2": "SUITE B",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067622562",
            "telephone_number": "203-577-2095",
            "fax_number": "203-577-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIZZA CHIROPRACTIC AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-24",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "RIZZA",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-577-2095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C. M.S."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CT",
            "license": "001902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlebury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.