Organization Active NPI

Calatayud Chiropractic Center, PC

  • Chiropractor
  • Wallingford, CT
National Provider Identifier
1497025746
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
000704 Issued in CT
Legal business name
CALATAYUD CHIROPRACTIC CENTER, PC
Practice address
85 Barnes Rd
Suite 101
Wallingford, CT 06492-1832
Phone
(203) 294-1700
NPI assigned
Jan 4, 2012
Last updated
Jan 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Authorized official

Name
Dr. John P Calatayud, DCNPI 1548329980
Title
President
Phone
(203) 294-1700

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 000704 CT Primary

Addresses

Primary practice location

85 Barnes Rd
Suite 101
Wallingford, CT 06492-1832

Mailing address

85 Barnes Rd
Suite 101
Wallingford, CT 06492-1832
Phone (203) 294-1700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120124000674 CT Part B Supplier - Clinic/Group Practice 5092982561 Receives reassigned benefits from 1 practitioner
Practice locations: Wallingford, CT

National Provider Directory

National Provider Directory

Locations

85 Barnes Rd
Ste 101
Wallingford, CT 06492
Phone (203) 294-1700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1497025746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 BARNES RD",
            "address_2": "SUITE 101",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064921832",
            "telephone_number": "203-294-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 BARNES RD",
            "address_2": "SUITE 101",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064921832",
            "telephone_number": "203-294-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALATAYUD CHIROPRACTIC CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "CALATAYUD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-294-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "000704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.