Michael Vajda, D.C., L.L.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

649 Issued in CT

Legal business name

MICHAEL VAJDA, D.C., L.L.C.

Practice address

761 Washington St
Middletown, CT 06457-2903

Phone

(860) 343-0222

Fax

(860) 343-1544

NPI assigned

Apr 11, 2011

Organization subpart

No

Name

Dr. Michael Vajda, D.C.NPI 1982623955

Title

Chiropractor/Owner

Phone

(860) 343-0222

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Vajda, D.C.

  • Chiropractor
  • Middletown, CT
  • NPI 1982623955
  Medicare reassignment NPD Authorized official

Medicare fee-for-service enrollment

Enrolled in CT

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 11, 2011.

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1598055683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 WASHINGTON ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064572903",
            "telephone_number": "860-343-0222",
            "fax_number": "860-343-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 WASHINGTON ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064572903",
            "telephone_number": "860-343-0222",
            "fax_number": "860-343-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL VAJDA, D.C., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-11",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "VAJDA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "860-343-0222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Middletown, CT
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.