Organization Active NPI

Nowak Family Chiropractic LLC

  • Chiropractor
  • South Windsor, CT
National Provider Identifier
1609181114
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001753 Issued in CT
Legal business name
NOWAK FAMILY CHIROPRACTIC LLC
Practice address
146 Oakland Rd
South Windsor, CT 06074-2835
Phone
(860) 783-8070
Fax
(860) 783-8072
NPI assigned
Aug 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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

Authorized official

Name
Dr. Eric A. Nowak, D.C.NPI 1447424999
Title
Owner
Phone
(860) 783-8070

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 001753 CT Primary

Addresses

Primary practice location

146 Oakland Rd
South Windsor, CT 06074-2835

Mailing address

146 Oakland Rd
South Windsor, CT 06074-2835
Phone (860) 783-8070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101007000926 CT Part B Supplier - Clinic/Group Practice 6406048511 Receives reassigned benefits from 1 practitioner
Practice locations: South Windsor, CT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1281398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1609181114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 OAKLAND RD",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742835",
            "telephone_number": "860-783-8070",
            "fax_number": "860-783-8072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 OAKLAND RD",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742835",
            "telephone_number": "860-783-8070",
            "fax_number": "860-783-8072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOWAK FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-10",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "NOWAK",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-783-8070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Windsor, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.