Active NPI
Southern Connecticut Muscle and Joint Performance Chiropractic
- Rehabilitation Chiropractor
- Branford, CT
National Provider Identifier
1598063455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 001874
- Legal business name
- SOUTHERN CONNECTICUT MUSCLE AND JOINT PERFORMANCE CHIROPRACTIC
- Practice address
- 491 Main St
Branford, CT 06405-3505 - Phone
- (203) 640-6302
- Fax
- (203) 433-4277
- NPI assigned
- Mar 2, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Armand Gagliardi, D.C.
- Title
- Owner
- Phone
- (203) 640-6302
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 001874 | CT | Primary |
Addresses
Primary practice location
491 Main St
Branford, CT 06405-3505
Mailing address
491 Main St
Branford, CT 06405-3505
Phone (203) 640-6302
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5 S Main St
Ste 511
Branford, CT 06405
Phone (203) 208-0972
491 Main St
Branford, CT 06405
Phone (203) 483-4383
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Student in an Organized Health Care Education/Training Program
- Branford, CT
- NPI 1205168762
-
- Chiropractor
- Stratford, CT
- NPI 1477356343
-
- Nutritionist
- Branford, CT
- NPI 1235268087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1299024000000",
"number": "1598063455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "491 MAIN ST",
"city": "BRANFORD",
"state": "CT",
"postal_code": "064053505",
"telephone_number": "203-640-6302",
"fax_number": "203-433-4277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "491 MAIN ST",
"city": "BRANFORD",
"state": "CT",
"postal_code": "064053505",
"telephone_number": "203-640-6302",
"fax_number": "203-433-4277"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN CONNECTICUT MUSCLE AND JOINT PERFORMANCE CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-02",
"last_updated": "2011-03-02",
"status": "A",
"authorized_official_last_name": "GAGLIARDI",
"authorized_official_first_name": "ARMAND",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "203-640-6302",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": "CT",
"license": "001874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Branford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.