Active NPI
Shoreline Spine & Pain Associates, P.C.
- Chiropractor
- Guilford, CT
National Provider Identifier
1457422115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 001647
- Legal business name
- SHORELINE SPINE & PAIN ASSOCIATES, P.C.
- Practice address
- 2415 Boston Post Rd
Unit 11
Guilford, CT 06437-4348 - Phone
- (401) 529-5436
- NPI assigned
- Nov 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alfred Borges Furtado, D.C.
- Title
- Doctor of Chiropractic
- Phone
- (401) 529-5436
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 001647 | CT | Primary |
Addresses
Primary practice location
2415 Boston Post Rd
Unit 11
Guilford, CT 06437-4348
Mailing address
2415 Boston Post Rd
Unit 11
Guilford, CT 06437-4348
Phone (401) 529-5436
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05-0001647CT01 | Other | CT | ANTHEM BLUE CROSS |
| 11513740 | Other | CT | CAQH |
National Provider Directory
National Provider DirectoryLocations
2415 Boston Post Rd
Ste 11
Guilford, CT 06437
Phone (203) 453-2001
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Guilford, CT
- NPI 1154344885
-
- Chiropractor
- Guilford, CT
- NPI 1942226402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1457422115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2415 BOSTON POST RD",
"address_2": "UNIT 11",
"city": "GUILFORD",
"state": "CT",
"postal_code": "064374348",
"telephone_number": "401-529-5436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2415 BOSTON POST RD",
"address_2": "UNIT 11",
"city": "GUILFORD",
"state": "CT",
"postal_code": "064374348",
"telephone_number": "401-529-5436"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHORELINE SPINE & PAIN ASSOCIATES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FURTADO",
"authorized_official_first_name": "ALFRED",
"authorized_official_middle_name": "BORGES",
"authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
"authorized_official_telephone_number": "401-529-5436",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CT",
"license": "001647",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "05-0001647CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11513740",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Guilford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.