Organization Active NPI

Connecticut Neck & Back Specialists LLC

  • Orthopaedic Surgery Physician
  • Danbury, CT
National Provider Identifier
1356412779
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
CONNECTICUT NECK & BACK SPECIALISTS LLC
Practice address
39 Hospital Ave
Danbury, CT 06810-6027
Phone
(203) 744-9700
Fax
(203) 744-9702
NPI assigned
Nov 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Authorized official

Name
Susan Nelson
Title
C.E.O.
Phone
(203) 744-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X CT Primary

Addresses

Primary practice location

39 Hospital Ave
Danbury, CT 06810-6027

Mailing address

39 Hospital Ave
Danbury, CT 06810-6027
Phone (203) 217-1833

National Provider Directory

National Provider Directory

Locations

39 Hospital Ave
Danbury, CT 06810
Phone (203) 744-9700

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1356412779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 HOSPITAL AVE",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106027",
            "telephone_number": "203-217-1833",
            "fax_number": "203-744-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 HOSPITAL AVE",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106027",
            "telephone_number": "203-744-9700",
            "fax_number": "203-744-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT NECK & BACK SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "203-744-9700"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.