Organization Active NPI

Colby Family Chiropractic,LLC

  • Chiropractor
  • Vernon, CT
National Provider Identifier
1467710368
Registry record updated Nov 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001540 Issued in CT
Legal business name
COLBY FAMILY CHIROPRACTIC,LLC
Practice address
220 Hartford Tpke
2ND Floor
Vernon, CT 06066-4700
Phone
(860) 871-0616
Fax
(860) 872-1319
NPI assigned
Apr 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2012

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

Authorized official

Name
Dr. Christopher Colby, DCNPI 1447444393
Title
Chiropractor
Phone
(860) 871-0616

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 001540 CT Primary

Addresses

Primary practice location

220 Hartford Tpke
2ND Floor
Vernon, CT 06066-4700

Mailing address

220 Hartford Tpke
2ND Floor
Vernon, CT 06066-4700
Phone (860) 871-0616

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120605000210 CT Part B Supplier - Clinic/Group Practice 0345404224 Receives reassigned benefits from 1 practitioner
Practice locations: South Windsor, CT

National Provider Directory

National Provider Directory
Tax ID family
Colby Family Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1330 Sullivan Ave
Unit C
South Windsor, CT 06074
Phone (860) 644-2437

1330 Sullivan Ave
Ste 2
South Windsor, CT 06074

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352851200000",
    "number": "1467710368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 HARTFORD TPKE",
            "address_2": "2ND FLOOR",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664700",
            "telephone_number": "860-871-0616",
            "fax_number": "860-872-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 HARTFORD TPKE",
            "address_2": "2ND FLOOR",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664700",
            "telephone_number": "860-871-0616",
            "fax_number": "860-872-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLBY FAMILY CHIROPRACTIC,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2012-11-14",
        "status": "A",
        "authorized_official_last_name": "COLBY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "860-871-0616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2012; 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.