Whitecap Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

WHITECAP CHIROPRACTIC LLC

Practice address

159 Boston Post Rd
East Lyme, CT 06333-1605

Phone

(860) 884-4473

Fax

(860) 271-8115

NPI assigned

Jan 27, 2023

Organization subpart

No

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

Authorized official

Name

Leigh Soderberg, DC

Title

Managing Member

Phone

(860) 884-4473

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chase William Livingston, DC

  • Chiropractor
  • East Lyme, CT
  • NPI 1003405887
  Medicare reassignment NPD
• Travis R Franco

  • Chiropractor
  • East Lyme, CT
  • NPI 1104719764
  NPD
• Leigh Livingston, DC

  • Chiropractor
  • East Lyme, CT
  • NPI 1760071443
  NPD

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1619683158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063330068",
            "telephone_number": "860-884-4473",
            "fax_number": "860-271-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 BOSTON POST RD",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331605",
            "telephone_number": "860-884-4473",
            "fax_number": "860-271-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITECAP CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "SODERBERG",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "860-884-4473",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Ethan Saul Weiner, M.D.
• Robert J Welsch, MD
• Whalen Ophthalmology LLC
• Katherine Elizabeth Whalen, MD
• Michelle Williamson
• Kerrie Winfrey
• John Vincent Wozniak, RPH
• Zelmanow Dental LLC
• Phillip Stephen Zelmanow, D.M.D.

• Chiropractor in East Lyme, CT
• Providers in East Lyme, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.