Organization Active NPI

Amy M. O'Donnell,Dabco,LLC

  • Orthopedic Chiropractor
  • Cos Cob, CT
National Provider Identifier
1437318698
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
Legal business name
AMY M. O'DONNELL,DABCO,LLC
Practice address
35 River Rd
Cos Cob, CT 06807-2759
Phone
(203) 863-2944
Fax
(203) 863-4538
NPI assigned
Jun 3, 2008
Last updated
Jun 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Authorized official

Name
Dr. Amy M. O'Donnell, DABCONPI 1912086083
Title
Member
Phone
(203) 863-2944

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X NU Primary

Addresses

Primary practice location

35 River Rd
Cos Cob, CT 06807-2759

Mailing address

35 River Rd
Cos Cob, CT 06807-2759
Phone (203) 863-2944

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080627000274 CT Part B Supplier - Clinic/Group Practice 3173695673 Receives reassigned benefits from 1 practitioner
Practice locations: Stamford, CT

National Provider Directory

National Provider Directory

Locations

2001 W Main St
Ste 200
Stamford, CT 06902

2015 W Main St
#200
Stamford, CT 06902
Phone (203) 863-3617

2015 W Main St
Ste 200
Stamford, CT 06902
Phone (203) 863-3617

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1437318698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 RIVER RD",
            "city": "COS COB",
            "state": "CT",
            "postal_code": "068072759",
            "telephone_number": "203-863-2944",
            "fax_number": "203-863-4538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 RIVER RD",
            "city": "COS COB",
            "state": "CT",
            "postal_code": "068072759",
            "telephone_number": "203-863-2944",
            "fax_number": "203-863-4538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY M. O'DONNELL,DABCO,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "O'DONNELL",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "203-863-2944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DABCO"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cos Cob, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.