NPIMap

Individual provider Active NPI

Michael V Sabbarese, DC

  • Chiropractor
  • Bethel, CT
National Provider Identifier
1609918184
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
000546 Issued in CT
Practice address
19 Stony Hill Rd
Route 6
Bethel, CT 06801-1056
Phone
(203) 798-9449
Fax
(203) 798-9447
NPI assigned
Feb 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 000546 CT Primary
Chiropractor 111N00000X CH0005022 FL
Chiropractor 111N00000X X4250 NY

Addresses

Primary practice location

19 Stony Hill Rd
Route 6
Bethel, CT 06801-1056

Mailing address

19 Stony Hill Rd
Route 6
Bethel, CT 06801-1056
Phone (203) 798-9449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
000546CTMDMarriage & Family Therapist
CH0005022FLMDChiropractor
X4250NYMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609918184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 STONY HILL RD",
            "address_2": "ROUTE 6",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068011056",
            "telephone_number": "203-798-9449",
            "fax_number": "203-798-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 STONY HILL RD",
            "address_2": "ROUTE 6",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068011056",
            "telephone_number": "203-798-9449",
            "fax_number": "203-798-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABBARESE",
        "first_name": "MICHAEL",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "000546",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0005022",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X4250",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel, CT

Sources for this page

  • 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.