Active NPI
Hodes Chiropractic LLC
- Chiropractor
- Waterbury, CT
National Provider Identifier
1619317443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 000899
- Legal business name
- HODES CHIROPRACTIC LLC
- Practice address
- 1249 W Main St
Suite 7
Waterbury, CT 06708-3100 - Phone
- (203) 754-2300
- Fax
- (203) 754-2301
- NPI assigned
- Jun 25, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Scott A Hodes, D.C.
- Title
- Owner
- Phone
- (203) 754-2300
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 000899 | CT | Primary |
Addresses
Primary practice location
1249 W Main St
Suite 7
Waterbury, CT 06708-3100
Mailing address
1249 W Main St
Suite 7
Waterbury, CT 06708-3100
Phone (203) 754-2300
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912964826 | Other | CT | NPI |
| 2113832 | Other | CT | AETNA |
| NHS467 | Other | CT | OXFORD |
| 000001470878 | Other | CT | PRIVATE HEALTHCARE SYSTEM |
| 050000899CT02 | Other | CT | ANTHEM BLUE CROSS |
| 4298598 | Other | CT | AETNA |
| 745717 | Other | CT | CONNECTICARE |
| 050000899CT04 | Other | CT | BLUE CROSS BLUE SHIELD |
| 71314 | Other | CT | AMERICAN SPECIALTY |
| 742701 | Other | CT | CONNECTICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1249 W Main St
Ste 7
Waterbury, CT 06708
Phone (203) 754-2300
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Waterbury, CT
- NPI 1912964826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489968000000",
"number": "1619317443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1249 W MAIN ST",
"address_2": "SUITE 7",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067083100",
"telephone_number": "203-754-2300",
"fax_number": "203-754-2301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1249 W MAIN ST",
"address_2": "SUITE 7",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067083100",
"telephone_number": "203-754-2300",
"fax_number": "203-754-2301"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HODES CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-25",
"last_updated": "2017-03-20",
"status": "A",
"authorized_official_last_name": "HODES",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "203-754-2300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CT",
"license": "000899",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1912964826",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2113832",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "NHS467",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HEALTHCARE SYSTEM",
"identifier": "000001470878",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "050000899CT02",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4298598",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "745717",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "050000899CT04",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPECIALTY",
"identifier": "71314",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "742701",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.