Organization Active NPI

New England Chiropractic, LLC

  • Chiropractor
  • Mystic, CT
National Provider Identifier
1437338225
Registry record updated Apr 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001687 Issued in CT
Legal business name
NEW ENGLAND CHIROPRACTIC, LLC
Practice address
2 Greenmanville Ave
Suite B
Mystic, CT 06355-2753
Phone
(860) 536-6888
Fax
(860) 536-6889
NPI assigned
Oct 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2009

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

Authorized official

Name
Dr. Jennifer Louise Welch, D.C.
Title
Owner
Phone
(860) 536-6888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 001687 CT Primary

Addresses

Primary practice location

2 Greenmanville Ave
Suite B
Mystic, CT 06355-2753

Mailing address

2 Greenmanville Ave
Suite B
Mystic, CT 06355-2753
Phone (860) 536-6888

National Provider Directory

National Provider Directory

Locations

23 Fort Hill Rd
Groton, CT 06340
Phone (860) 536-6888

2 Greenmanville Ave
Ste B
Mystic, CT 06355
Phone (860) 536-6888

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239753600000",
    "number": "1437338225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 GREENMANVILLE AVE",
            "address_2": "SUITE B",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063552753",
            "telephone_number": "860-536-6888",
            "fax_number": "860-536-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 GREENMANVILLE AVE",
            "address_2": "SUITE B",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063552753",
            "telephone_number": "860-536-6888",
            "fax_number": "860-536-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2009-04-15",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-536-6888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mystic, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; 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.