Organization Active NPI

Modern Chiropractic, LLC

Doing business as Burlington Chiropractic

  • Chiropractor
  • Burlington, CT
National Provider Identifier
1346446267
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
000965 Issued in CT
Legal business name
MODERN CHIROPRACTIC, LLC
Doing business as
Burlington Chiropractic
Practice address
267 Spielman Hwy
Burlington, CT 06013-1734
Phone
(860) 673-5152
Fax
(860) 760-6066
NPI assigned
Jun 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Anthony Salavatore Piana, D.C.
Title
Chiropractor
Phone
(860) 673-5152

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 000904 CT
Chiropractor 111N00000X 000965 CT Primary

Addresses

Primary practice location

267 Spielman Hwy
Burlington, CT 06013-1734

Mailing address

267 Spielman Hwy
Burlington, CT 06013-1734
Phone (860) 673-5152

Other names 1

  • Burlington Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050502000762 CT Part B Supplier - Clinic/Group Practice 8325087067 Receives reassigned benefits from 1 practitioner
Practice locations: Burlington, CT; Watertown, CT

National Provider Directory

National Provider Directory

Locations

262 Spielman Hwy
Burlington, CT 06013
Phone (860) 256-8892

262 Spielman Hwy
Ste 2
Burlington, CT 06013
Phone (860) 256-8892

1037 Main St
Watertown, CT 06795
Phone (860) 256-8892

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346446267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 SPIELMAN HWY",
            "city": "BURLINGTON",
            "state": "CT",
            "postal_code": "060131734",
            "telephone_number": "860-673-5152",
            "fax_number": "860-760-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 SPIELMAN HWY",
            "city": "BURLINGTON",
            "state": "CT",
            "postal_code": "060131734",
            "telephone_number": "860-673-5152",
            "fax_number": "860-760-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PIANA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "SALAVATORE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "860-673-5152",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "000904",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "000965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burlington Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burlington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.