NPIMap

Organization Active NPI

Lynn Carnaroli Chiropractic Center of Norwich

  • Chiropractor
  • Norwich, CT
National Provider Identifier
1598897738
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
00586 Issued in CT
Legal business name
LYNN CARNAROLI CHIROPRACTIC CENTER OF NORWICH
Practice address
85 Sachem St
Norwich, CT 06360
Phone
(860) 889-5812
Fax
(860) 886-9247
NPI assigned
Mar 12, 2007
Reactivated
Oct 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

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

Authorized official

Name
Lynn Carnaroli, DCNPI 1770697179
Title
Owner
Phone
(860) 886-9277

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 00586 CT Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 000586 CT

Addresses

Primary practice location

85 Sachem St
Norwich, CT 06360

Mailing address

85 Sachem St
Norwich, CT 06360
Phone (860) 889-5812

Other identifiers 4

IdentifierTypeStateIssuer
1770697179OtherCTNPI
004074233MedicaidCT
2370484OtherCTAETNA US HEALTHCARE
050000586CT01OtherCTBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

85 Sachem St
Norwich, CT 06360
Phone (860) 886-9277

Interoperability endpoints

  • Direct secure messaging: blynnc@ccon0001.direct.chirotouch.md

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1598897738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 SACHEM ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "06360",
            "telephone_number": "860-889-5812",
            "fax_number": "860-886-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SACHEM ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "06360",
            "telephone_number": "860-889-5812",
            "fax_number": "860-886-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN CARNAROLI CHIROPRACTIC CENTER OF NORWICH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2008-11-03",
        "deactivation_date": "2008-07-22",
        "reactivation_date": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "CARNAROLI",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-886-9277",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "00586",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "000586",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1770697179",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004074233",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "2370484",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "050000586CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; 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.