Connecticut Family Acupuncture, LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

000424 Issued in CT

Legal business name

CONNECTICUT FAMILY ACUPUNCTURE, LLC

Practice address

173 Oakwood Ave
West Hartford, CT 06119-2141

Phone

(860) 503-3676

Fax

(860) 503-3708

NPI assigned

Sep 16, 2016

Last updated

Sep 16, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew Maneggia

Title

Owner

Phone

(860) 503-3676

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473984000000",
    "number": "1356899561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 OAKWOOD AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061192141",
            "telephone_number": "860-503-3676",
            "fax_number": "860-503-3708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 OAKWOOD AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061192141",
            "telephone_number": "860-503-3676",
            "fax_number": "860-503-3708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT FAMILY ACUPUNCTURE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-16",
        "last_updated": "2016-09-16",
        "status": "A",
        "authorized_official_last_name": "MANEGGIA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-503-3676"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CT",
            "license": "000424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.