Organization Active NPI

Sudowski Chiropractic Offices

  • Chiropractor
  • Waterford, CT
National Provider Identifier
1386823623
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CT00317 Issued in CT
Legal business name
SUDOWSKI CHIROPRACTIC OFFICES
Practice address
210 Boston Post Rd
Waterford, CT 06385-2819
Phone
(860) 442-3180
Fax
(860) 447-9444
NPI assigned
Nov 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Authorized official

Name
Dr. Leon G Sudowski, D.C.
Title
Owner
Phone
(860) 442-3180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CT00317 CT Primary

Addresses

Primary practice location

210 Boston Post Rd
Waterford, CT 06385-2819

Mailing address

210 Boston Post Rd
Waterford, CT 06385-2819
Phone (860) 442-3180

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1386823623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 BOSTON POST RD",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063852819",
            "telephone_number": "860-442-3180",
            "fax_number": "860-447-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 BOSTON POST RD",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063852819",
            "telephone_number": "860-442-3180",
            "fax_number": "860-447-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUDOWSKI CHIROPRACTIC OFFICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "SUDOWSKI",
        "authorized_official_first_name": "LEON",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-442-3180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "CT00317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.