NPIMap

Organization Active NPI

Brookfield Center for Chiropractic LLC

  • Chiropractor
  • Brookfield, CT
National Provider Identifier
1407139181
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
252 Issued in CT
Legal business name
BROOKFIELD CENTER FOR CHIROPRACTIC LLC
Practice address
304 Federal Rd
Suite 109
Brookfield, CT 06804-2418
Phone
(203) 775-5555
Fax
(203) 775-0782
NPI assigned
Sep 20, 2011
Last updated
Sep 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

Authorized official

Name
Nichole Coito
Title
Office Manager
Phone
(203) 775-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 252 CT Primary

Addresses

Primary practice location

304 Federal Rd
Suite 109
Brookfield, CT 06804-2418

Mailing address

304 Federal Rd
Suite 109
Brookfield, CT 06804-2418
Phone (203) 775-5555

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1407139181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 FEDERAL RD",
            "address_2": "SUITE 109",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042418",
            "telephone_number": "203-775-5555",
            "fax_number": "203-775-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 FEDERAL RD",
            "address_2": "SUITE 109",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042418",
            "telephone_number": "203-775-5555",
            "fax_number": "203-775-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKFIELD CENTER FOR CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-20",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "COITO",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "203-775-5555"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; 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.