Active NPI
Cristina Poulos, D.C.
- Chiropractor
- Stamford, CT
National Provider Identifier
1356763239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 001940
- Practice address
- 970 Summer St
Stamford, CT 06905-5542 - Phone
- (203) 536-0090
- NPI assigned
- Jan 13, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 001940 | CT | Primary |
| Chiropractor | 111N00000X | X012433-1 | NY |
Addresses
Primary practice location
970 Summer St
Stamford, CT 06905-5542
Mailing address
970 Summer St
Stamford, CT 06905-5542
Phone (203) 536-0090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001940 | CT | MD | Chiropractor |
| X012433-1 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389571200000",
"number": "1356763239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "970 SUMMER ST",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069055542",
"telephone_number": "203-536-0090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "970 SUMMER ST",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069055542",
"telephone_number": "203-536-0090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POULOS",
"first_name": "CRISTINA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-13",
"last_updated": "2014-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CT",
"license": "001940",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X012433-1",
"primary": false
}
],
"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 Jan 13, 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.