Colburn Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1508 Issued in CT

Legal business name

COLBURN CHIROPRACTIC LLC

Practice address

310 Hartford Tpke
Vernon, CT 06066-4719

Phone

(860) 730-2996

NPI assigned

Jan 13, 2009

Last updated

Jan 13, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marla Colburn, DC

Title

Owner

Phone

(860) 730-2996

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

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.

• Marla J Colburn Dunnells, D.C.

  • Chiropractor
  • Glastonbury, CT
  • NPI 1114954930
  Medicare reassignment NPD

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1528205572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 HARTFORD TPKE",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664719",
            "telephone_number": "860-730-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 HARTFORD TPKE",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664719",
            "telephone_number": "860-730-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLBURN CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "COLBURN",
        "authorized_official_first_name": "MARLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-730-2996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "1508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina M Cipriani, LCSW, LADC
• Judith E Clarke
• Cleveland Behavioral Healthcare LLC
• Robert Joseph Cleveland, LCSW
• Jayne Cohen, PHD
• Willard Rudin Colburn, PHARMACIST
• Colby Family Chiropractic
• Colby Family Chiropractic,LLC
• Christopher Aaron Colby, D.C.
• Elizabeth Ann Collins, PT

• Chiropractor in Vernon, CT
• Providers in Vernon, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.