Active NPI
Cassandra Maximenko, D.C., M.S., A.T.C.
- Chiropractor
- Southbury, CT
National Provider Identifier
1609161819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 001886
- Practice address
- 760 Main St S
Suite E
Southbury, CT 06488-4248 - Phone
- (203) 267-3880
- Fax
- (203) 267-3882
- NPI assigned
- Jun 15, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 001886 | CT | Primary |
Addresses
Primary practice location
760 Main St S
Suite E
Southbury, CT 06488-4248
Mailing address
760 Main St S
Suite E
Southbury, CT 06488-4248
Phone (203) 267-3880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
760 Main St S
Suite E
Southbury, CT 06488-4248
Phone (203) 267-3880
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001886 | CT | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christopher E. Dembski, D.C., Chiropractic Physician P.C. | Chiropractor | Current | Accepting new patients |
Locations
760 Main St S
Ste E
Southbury, CT 06488
Phone (203) 267-3880
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Southbury, CT
- NPI 1437278579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308096000000",
"number": "1609161819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 MAIN ST S",
"address_2": "SUITE E",
"city": "SOUTHBURY",
"state": "CT",
"postal_code": "064884248",
"telephone_number": "203-267-3880",
"fax_number": "203-267-3882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 MAIN ST S",
"address_2": "SUITE E",
"city": "SOUTHBURY",
"state": "CT",
"postal_code": "064884248",
"telephone_number": "203-267-3880",
"fax_number": "203-267-3882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXIMENKO",
"first_name": "CASSANDRA",
"name_prefix": "Dr.",
"credential": "D.C., M.S., A.T.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-15",
"last_updated": "2011-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CT",
"license": "001886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.