Individual provider Active NPI

John Adam Dinneen, D.C.

  • Chiropractor
  • Orange, CT
National Provider Identifier
1447690466
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1954 Issued in CT
Practice address
391 Boston Post Rd
Orange, CT 06477-3578
Phone
(203) 799-3472
Fax
(203) 799-3476
NPI assigned
Jul 5, 2013
Last updated
Oct 27, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 70 012383 NY
Chiropractor 111N00000X 1954 CT Primary

Addresses

Primary practice location

391 Boston Post Rd
Orange, CT 06477-3578

Mailing address

391 Boston Post Rd
Orange, CT 06477-3578
Phone (203) 799-3472

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210216001837 CT Practitioner - Chiropractic 2567877004 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
70 012383NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Synergy, LLC Chiropractor CurrentSince Jan 18, 2021 Accepting new patients
New England Spine and Disc LLC Chiropractor Past Accepting new patients

Locations

340 Post Rd
Fairfield, CT 06824
Phone (203) 259-3210

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1372982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414368000000",
    "number": "1447690466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 BOSTON POST RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773578",
            "telephone_number": "203-799-3472",
            "fax_number": "203-799-3476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 BOSTON POST RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773578",
            "telephone_number": "203-799-3472",
            "fax_number": "203-799-3476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINNEEN",
        "first_name": "JOHN",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-05",
        "last_updated": "2014-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "70 012383",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "1954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.