Michaud Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

001781 Issued in CT

Legal business name

MICHAUD CHIROPRACTIC, LLC

Practice address

112 Spencer St
Suite 1B
Manchester, CT 06040-4601

Phone

(860) 533-0094

Fax

(860) 533-0122

NPI assigned

Feb 13, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Kevin James Michaud, D.C.

Title

Chiropractic Physician

Phone

(860) 533-0094

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1417220120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SPENCER ST",
            "address_2": "SUITE 1B",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404601",
            "telephone_number": "860-533-0094",
            "fax_number": "860-533-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SPENCER ST",
            "address_2": "SUITE 1B",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404601",
            "telephone_number": "860-533-0094",
            "fax_number": "860-533-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAUD CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-13",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "MICHAUD",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "860-533-0094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12336191",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Metro Wheelchair Service, Inc
• Ted S Metzger, MD
• Noemi Judit Mezei, M.D.
• Mgadams, LLC
• Samantha Micael
• Kevin James Michaud, D.C.
• Martha Michaud
• Noelle N Michaud
• Jada PT Middleton, LMSW
• Lashawn R Middleton

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.