NPIMap

Organization Active NPI

Chiropractic Health Care Center of Hamden, LLC

  • Chiropractor
  • Hamden, CT
National Provider Identifier
1508101536
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001421 Issued in CT
Legal business name
CHIROPRACTIC HEALTH CARE CENTER OF HAMDEN, LLC
Practice address
2821 Old Dixwell Ave
Hamden, CT 06518-3138
Phone
(203) 288-2821
Fax
(203) 288-2854
NPI assigned
Dec 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

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

Authorized official

Name
Dr. Bryan Wade Barry, DCNPI 1821105735
Title
Chiropractic Physician
Phone
(203) 288-2821

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 001421 CT Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 007661 CT

Addresses

Primary practice location

2821 Old Dixwell Ave
Hamden, CT 06518-3138

Mailing address

2821 Old Dixwell Ave
Hamden, CT 06518-3138
Phone (203) 288-2821

Other names 1

  • Health Care Center of Hamden, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

2821 Old Dixwell Ave
Hamden, CT 06518
Phone (203) 288-2821

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": "1354492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354492800000",
    "number": "1508101536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 OLD DIXWELL AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183138",
            "telephone_number": "203-288-2821",
            "fax_number": "203-288-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 OLD DIXWELL AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183138",
            "telephone_number": "203-288-2821",
            "fax_number": "203-288-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC HEALTH CARE CENTER OF HAMDEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-03",
        "last_updated": "2012-12-03",
        "status": "A",
        "authorized_official_last_name": "BARRY",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "203-288-2821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001421",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "007661",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Care Center of Hamden, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hamden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.