Organization Active NPI

Sand Pit Chiropractic Center, LLC

  • Chiropractor
  • Danbury, CT
National Provider Identifier
1437331824
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001577 Issued in CT
Legal business name
SAND PIT CHIROPRACTIC CENTER, LLC
Practice address
67 Sand Pit Rd
Suite 99
Danbury, CT 06810-4032
Phone
(203) 791-9111
Fax
(203) 791-9743
NPI assigned
Nov 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Authorized official

Name
Dr. Christopher S Kisker, D.C.NPI 1295886489
Title
Owner
Phone
(203) 791-9111

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 001577 CT Primary

Addresses

Primary practice location

67 Sand Pit Rd
Suite 99
Danbury, CT 06810-4032

Mailing address

67 Sand Pit Rd
Suite 99
Danbury, CT 06810-4032
Phone (203) 791-9111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050412001234 CT Part B Supplier - Clinic/Group Practice 4981641883 Receives reassigned benefits from 2 practitioners
Practice locations: Danbury, CT

National Provider Directory

National Provider Directory

Locations

67 Sand Pit Rd
Ste 99
Danbury, CT 06810
Phone (203) 791-9111

50 Federal Rd
#1
Danbury, CT 06810
Phone (203) 791-9111

46 Federal Rd
Ste B
Danbury, CT 06810
Phone (203) 791-9111

Practitioners & affiliated clinicians

Practitioners 3

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": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1437331824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 SAND PIT RD",
            "address_2": "SUITE 99",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104032",
            "telephone_number": "203-791-9111",
            "fax_number": "203-791-9743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 SAND PIT RD",
            "address_2": "SUITE 99",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104032",
            "telephone_number": "203-791-9111",
            "fax_number": "203-791-9743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAND PIT CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "KISKER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-791-9111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.