Individual provider Active NPI

Aric Johnathon Frisina-Deyo, DC

  • Chiropractor
  • Stamford, CT
National Provider Identifier
1346800950
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2148 Issued in CT
Practice address
141 Franklin Street
Stamford, CT 06901-1014
Phone
(203) 969-0802
Fax
(203) 316-9024
NPI assigned
Jun 17, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 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 2148 CT Primary

Addresses

Primary practice location

141 Franklin Street
Stamford, CT 06901-1014

Mailing address

141 Franklin Street
Stamford, CT 06901-1014
Phone (203) 969-0802

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231109001183 CT Practitioner - Chiropractic 0749637932 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2148CTMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center Inc CurrentSince Sep 4, 2023 Accepting new patients
Community Health Center Inc CurrentSince Sep 4, 2023 Accepting new patients

Locations

575 Main St
Ste 2
Middletown, CT 06457

141 Franklin St
Stamford, CT 06901
Phone (203) 602-4441

Organizations & group practices 2

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": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1346800950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 FRANKLIN STREET",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069011014",
            "telephone_number": "203-969-0802",
            "fax_number": "203-316-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 FRANKLIN STREET",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069011014",
            "telephone_number": "203-969-0802",
            "fax_number": "203-316-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRISINA-DEYO",
        "first_name": "ARIC",
        "middle_name": "JOHNATHON",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "2148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.