Individual provider Active NPI

Andrew Rocha, DC

  • Chiropractor
  • Waterbury, CT
National Provider Identifier
1386214724
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7.002232 Issued in CT
Practice address
93 Meriden Rd Unit 2
Waterbury, CT 06705-1933
Phone
(203) 490-9173
NPI assigned
Jun 28, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NN0400X 7.002232 CT
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 7.002232 CT Primary

Addresses

Primary practice location

93 Meriden Rd Unit 2
Waterbury, CT 06705-1933

Mailing address

190 Stonybrook LN
Watertown, CT 06795-1033
Phone (203) 490-9173

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210908001041 CT Practitioner - Chiropractic 5294131827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CT Junction ChiropracticGroup PAC ID 5395141923, 2 clinicians

Practice addresses (Care Compare)

93 Meriden Rd
Unit 2
Waterbury, CT 06705-1933
Phone (203) 528-4432

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2232CTMDBehavioral Analyst
7.002232CTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
CT Junction Chiropractic Chiropractor CurrentSince Jun 8, 2021 Accepting new patients

Locations

93 Meriden Rd
#2
Waterbury, CT 06705
Phone (203) 490-9173

Organizations & group practices 1

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": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1386214724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 STONYBROOK LN",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067951033",
            "telephone_number": "203-490-9173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 MERIDEN RD UNIT 2",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067051933",
            "telephone_number": "203-490-9173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHA",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "CT",
            "license": "7.002232",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "7.002232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.