Active NPI
Steven Dmitri O'Donnell, DC
- Chiropractor
- Meriden, CT
National Provider Identifier
1457062267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2278
- Practice address
- 693 Broad St
Meriden, CT 06450-4341 - Phone
- (203) 440-9686
- NPI assigned
- Dec 13, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2278 | CT | Primary |
Addresses
Primary practice location
693 Broad St
Meriden, CT 06450-4341
Mailing address
693 Broad St
Meriden, CT 06450-4341
Phone (203) 440-9686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2278 | CT | MD | Chiropractor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Meriden, CT
- NPI 1154634665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670889600000",
"number": "1457062267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "693 BROAD ST",
"city": "MERIDEN",
"state": "CT",
"postal_code": "064504341",
"telephone_number": "203-440-9686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "693 BROAD ST",
"city": "MERIDEN",
"state": "CT",
"postal_code": "064504341",
"telephone_number": "203-440-9686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'DONNELL",
"first_name": "STEVEN",
"middle_name": "DMITRI",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-12-13",
"last_updated": "2022-12-13",
"certification_date": "2022-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CT",
"license": "2278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meriden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.