Active NPI
Jeffrey Michael Depanfilis, D.C.
- Chiropractor
- Norwalk, CT
National Provider Identifier
1467786343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 001803
- Practice address
- 111 East Ave
Ste 203
Norwalk, CT 06851-5014 - Phone
- (203) 838-8900
- NPI assigned
- Sep 25, 2009
- 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 | 001803 | CT | Primary |
Addresses
Primary practice location
111 East Ave
Ste 203
Norwalk, CT 06851-5014
Mailing address
111 East Ave
Ste 203
Norwalk, CT 06851-5014
Phone (203) 838-8900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110503000478 | CT | Practitioner - Chiropractic | 3971788126 | Practice locations: Norwalk, CT |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
111 E Ave
Suite 203
Norwalk, CT 06851-5014
Phone (203) 604-4599
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1803 | CT | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587600000000",
"number": "1467786343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 EAST AVE",
"address_2": "STE 203",
"city": "NORWALK",
"state": "CT",
"postal_code": "068515014",
"telephone_number": "203-838-8900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 EAST AVE",
"address_2": "STE 203",
"city": "NORWALK",
"state": "CT",
"postal_code": "068515014",
"telephone_number": "203-838-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPANFILIS",
"first_name": "JEFFREY",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-25",
"last_updated": "2020-04-23",
"certification_date": "2020-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CT",
"license": "001803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.