Organization Active NPI

Nodine Chiropractic, LLC

  • Sports Physician Chiropractor
  • West Hartford, CT
National Provider Identifier
1356746945
Registry record updated Oct 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
1031 Issued in CT
Legal business name
NODINE CHIROPRACTIC, LLC
Practice address
945 New Britain Ave
1St Floor
West Hartford, CT 06110-2230
Phone
(860) 236-1752
Fax
(860) 236-0703
NPI assigned
Oct 26, 2014
Last updated
Oct 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2014

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

Authorized official

Name
Dr. Donald Lee Nodine, D.C.NPI 1437246246
Title
Chiropractor
Phone
(860) 236-1752

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 1031 CT Primary

Addresses

Primary practice location

945 New Britain Ave
1St Floor
West Hartford, CT 06110-2230

Mailing address

945 New Britain Ave
1St Floor
West Hartford, CT 06110-2230
Phone (860) 236-1752

National Provider Directory

National Provider Directory

Locations

945 New Britain Ave
Fl 1
West Hartford, CT 06110
Phone (860) 236-1752

Practitioners & affiliated clinicians

Practitioners 1

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": "1414281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414281600000",
    "number": "1356746945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 NEW BRITAIN AVE",
            "address_2": "1ST FLOOR",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061102230",
            "telephone_number": "860-236-1752",
            "fax_number": "860-236-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 NEW BRITAIN AVE",
            "address_2": "1ST FLOOR",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061102230",
            "telephone_number": "860-236-1752",
            "fax_number": "860-236-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NODINE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-26",
        "last_updated": "2014-10-26",
        "status": "A",
        "authorized_official_last_name": "NODINE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "860-236-1752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CT",
            "license": "1031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2014; 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.