Organization Active NPI

Palmer Herman Chiropractic Physicians LLC

  • Chiropractor
  • Naugatuck, CT
National Provider Identifier
1619098548
Registry record updated Apr 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
734 Issued in CT
Legal business name
PALMER HERMAN CHIROPRACTIC PHYSICIANS LLC
Practice address
331 Church St
Naugatuck, CT 06770-2806
Phone
(203) 729-4047
Fax
(203) 723-9103
NPI assigned
Apr 2, 2007
Last updated
Apr 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2011

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

Authorized official

Name
Dorothy E Hewes
Title
Office Manager
Phone
(203) 729-4047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 734 CT Primary

Addresses

Primary practice location

331 Church St
Naugatuck, CT 06770-2806

Mailing address

331 Church St
Naugatuck, CT 06770-2806
Phone (203) 729-4047

Other identifiers 1

IdentifierTypeStateIssuer
004196491MedicaidCT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110429000041 CT Part B Supplier - Clinic/Group Practice 1052596459 Receives reassigned benefits from 2 practitioners
Practice locations: Naugatuck, CT

National Provider Directory

National Provider Directory

Locations

331 Church St
Naugatuck, CT 06770
Phone (203) 729-4047

Interoperability endpoints

  • Direct secure messaging: glenn@pcpl0001.direct.chirotouch.md
  • Direct secure messaging: terry@pcpl0001.direct.chirotouch.md

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304035200000",
    "number": "1619098548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 CHURCH ST",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067702806",
            "telephone_number": "203-729-4047",
            "fax_number": "203-723-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 CHURCH ST",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067702806",
            "telephone_number": "203-729-4047",
            "fax_number": "203-723-9103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMER HERMAN CHIROPRACTIC PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2011-04-29",
        "status": "A",
        "authorized_official_last_name": "HEWES",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "203-729-4047"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004196491",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naugatuck, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; 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.