East West Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

001172 Issued in CT

Legal business name

EAST WEST CHIROPRACTIC, LLC

Practice address

1353 Gold Star Hwy
Suite 106
Groton, CT 06340-2739

Phone

(860) 446-9700

Fax

(860) 326-5728

NPI assigned

Oct 9, 2006

Last updated

Apr 23, 2012By 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. Christopher David Deveau, DCNPI 1487716866

Title

Chiropractor/Owner

Phone

(860) 446-9700

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Ewc 2, LLC

  • Chiropractor
  • Jewett City, CT
  • NPI 1982910881
  NPPES parent name

Practitioners 3

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.

• Christopher David Deveau, DC

  • Chiropractor
  • Groton, CT
  • NPI 1487716866
  Medicare reassignment Care Compare group NPD Authorized official
• Nadia Shipper, DC

  • Chiropractor
  • Groton, CT
  • NPI 1255899845
  Medicare reassignment Care Compare group NPD
• Kyle Jeffrey Robert Zeppieri, DC

  • Chiropractor
  • Groton, CT
  • NPI 1215785373
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1598852758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 GOLD STAR HWY",
            "address_2": "SUITE 106",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063402739",
            "telephone_number": "860-446-9700",
            "fax_number": "860-326-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1353 GOLD STAR HWY",
            "address_2": "SUITE 106",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063402739",
            "telephone_number": "860-446-9700",
            "fax_number": "860-326-5728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST WEST CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "DEVEAU",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "860-446-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "050001172CT02",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Nicole Duranti, LCSW
• Rebecca Lynne Durfee, PT
• Allison Dussault, NP-C
• Andrew Dye, IDC
• Eric Dyson Jr.
• Eastern Connecticut Dermatology PC
• Robert B. Ecker, MD
• Jesse Ivey Edwards III, DDS
• Joshua Najee Edwards
• Scott J Eggert

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.