Active NPI
Donna Peano
- Chiropractor
- Old Saybrook, CT
National Provider Identifier
1457518375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 001124
- Practice address
- 210 Main St
Old Saybrook, CT 06475-2333 - Phone
- (860) 388-9390
- NPI assigned
- May 19, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 001124 | CT | Primary |
Addresses
Primary practice location
210 Main St
Old Saybrook, CT 06475-2333
Mailing address
8 Fenwood Dr
Old Saybrook, CT 06475-3006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001124 | CT | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211155200000",
"number": "1457518375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 FENWOOD DR",
"city": "OLD SAYBROOK",
"state": "CT",
"postal_code": "064753006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 MAIN ST",
"city": "OLD SAYBROOK",
"state": "CT",
"postal_code": "064752333",
"telephone_number": "860-388-9390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEANO",
"first_name": "DONNA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-19",
"last_updated": "2008-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CT",
"license": "001124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Old Saybrook, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.