Pape Chiropractic & Wellness Center LLC
Organization Active NPI Nutrition Chiropractor · Niantic, CT
NPI 1578872024 · NPPES record last updated Feb 12, 2013
Key facts
- NPI
- 1578872024
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nutrition Chiropractor 111NN1001X
- License
- 001857 (CT)
- Legal business name
- PAPE CHIROPRACTIC & WELLNESS CENTER LLC
- Practice address
- 11 Freedom Way
Unit B-01
Niantic, CT 06357-1041 - Phone
- (860) 739-3600
- Fax
- (860) 739-3400
- NPI assigned
- Oct 1, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Tianne A Pape, D.C.
- Title
- Owner
- Phone
- (860) 739-3600
Practitioners 5
-
Vincent Paul Monaco, D.C.
-
Tianne A Pape, D.C., M.S.
-
Renee Ann Brown, D.C.
-
Brittany Jones, OD
-
Elizabeth C McMunn, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101105000724 | CT | Part B Supplier - Clinic/Group Practice | 9931394723 |
Receives reassigned benefits from 3 practitioners Practice locations: East Lyme, CT |
National Provider Directory
Locations
305 Flanders Rd
Unit 8
East Lyme, CT 06333
Phone (860) 739-3600
11 Freedom Way
Unit B1
Niantic, CT 06357
Phone (860) 739-3600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor |
111NN1001X | 001857 | CT | Yes |
Addresses
Primary practice location
11 Freedom Way
Unit B-01
Niantic, CT 06357-1041
Mailing address
PO Box 944
East Lyme, CT 06333-0944
Phone (860) 739-3600
Other providers in Niantic, CT
- Niantic Dental Associates PC
- Norwich Ophthalmology Optical
- Norwich Orthopedic Group, PC
- Norwich Orthopedic Group, PC
- Lee Oren
- Anthony S. D. Parisi
- Patricia Giannattasio Counseling & Therapy LLC
- Emily Pattavina
- Jessica Persad
- Jonathan Robert Piposar
All providers in Niantic, CT · Nutrition Chiropractor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.