Maura C Lyddy, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

000501 Issued in CT

Practice address

1077 Bridgeport Ave
Shelton, CT 06484-4622

Phone

(203) 929-5700

Fax

(203) 929-5600

NPI assigned

Feb 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598809154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 HUNTINGTON TPKE",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066115316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 BRIDGEPORT AVE",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064844622",
            "telephone_number": "203-929-5700",
            "fax_number": "203-929-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYDDY",
        "first_name": "MAURA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "000501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID",
            "identifier": "1354489-000",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS ID",
            "identifier": "050000501CT05",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "720209",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LLC",
            "identifier": "0609776",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Lopez
• Kathleen Lovanio, APRN
• Dawn E Luddy, FAMILY NURSE PRACTIT
• Margaret Marie Luke, MSW
• Margaret M Lux Drury, MA,PT
• Taneeka Chantia Patreece Lyles
• Shanae Monique Lynch, LCSW
• Kaitlyn A Lyver, PA-C
• Joseph S. Madrak, O.D.
• Carla Maffeo-Mitchell, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.