NPIMap

Organization Active NPI

KC Chiropractic

  • Exclusive Provider Organization
  • Madison, CT
National Provider Identifier
1487905386
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
001235 Issued in CT
Legal business name
KC CHIROPRACTIC
Practice address
17 Woodland Rd
Madison, CT 06443-2342
Phone
(203) 245-9317
Fax
(203) 245-9317
NPI assigned
Oct 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Authorized official

Name
Dr. Kevin Healy, DC
Title
Owner
Phone
(203) 245-9317

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 001235 CT Primary

Addresses

Primary practice location

17 Woodland Rd
Madison, CT 06443-2342

Mailing address

17 Woodland Rd
Madison, CT 06443-2342
Phone (203) 245-9317

National Provider Directory

National Provider Directory

Locations

17 Woodland Rd
Madison, CT 06443
Phone (203) 245-9317

Practitioners & affiliated clinicians

Practitioners 2

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": "1349136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1487905386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WOODLAND RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432342",
            "telephone_number": "203-245-9317",
            "fax_number": "203-245-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WOODLAND RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432342",
            "telephone_number": "203-245-9317",
            "fax_number": "203-245-9317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-02",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "HEALY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-245-9317",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CT",
            "license": "001235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.