Anastasios K Georgiou

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

001517 Issued in CT

Practice address

80 Grove St
Ridgefield, CT 06877-4104

Phone

(203) 431-4343

Fax

(203) 431-3423

NPI assigned

Apr 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1396708368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 GROVE ST",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774104",
            "telephone_number": "203-431-4343",
            "fax_number": "203-431-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 GROVE ST",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774104",
            "telephone_number": "203-431-4343",
            "fax_number": "203-431-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGIOU",
        "first_name": "ANASTASIOS",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CT",
            "license": "001517",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "1396708368",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clare Gelissen, LMFT
• Robert M Gell, DDS
• Christopher D Genn, DPT
• Jeff Genova, DMD
• Genovese Drug Stores Inc
• Victoria J Gerdo
• Haleh Ghanizadeh, M.D., M.P.H.
• Olivia Rae Giacoppi, MSW, LCSW
• Debra A. Gibson, N.D.
• F. Swift Gibson, PH.D.

• Chiropractor in Ridgefield, CT
• Providers in Ridgefield, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.