Organization Active NPI

Godfrey Chiropractic & Rehabiliation

  • Chiropractor
  • Farmington, CT
National Provider Identifier
1619160256
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001361 Issued in CT
Legal business name
GODFREY CHIROPRACTIC & REHABILIATION
Practice address
220 Farmington Ave
Farmington, CT 06032-1949
Phone
(860) 232-3277
Fax
(860) 232-6277
NPI assigned
Aug 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Authorized official

Name
Dr. Mark Eamon Godfrey, D.C., M.S.NPI 1740294438
Title
Owner/Sole Proprieter
Phone
(860) 232-3277

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 001361 CT Primary

Addresses

Primary practice location

220 Farmington Ave
Farmington, CT 06032-1949

Mailing address

220 Farmington Ave
Farmington, CT 06032-1949
Phone (860) 232-3277

Other names 1

  • Godfrey Chiropractic Rehab and Nutrition Center Former legal business name

National Provider Directory

National Provider Directory

Locations

80 Phoenix Ave
Ste 205
Waterbury, CT 06702
Phone (203) 575-9195

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": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1619160256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321949",
            "telephone_number": "860-232-3277",
            "fax_number": "860-232-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321949",
            "telephone_number": "860-232-3277",
            "fax_number": "860-232-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GODFREY CHIROPRACTIC & REHABILIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "GODFREY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EAMON",
        "authorized_official_title_or_position": "OWNER/SOLE PROPRIETER",
        "authorized_official_telephone_number": "860-232-3277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., M.S."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Godfrey Chiropractic Rehab and Nutrition Center",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Godfrey Chiropractic Rehab and Nutrition Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Farmington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.