Stephen Craig Judson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

001439 Issued in CT

Practice address

2434 Berlin Tpke
Unit 22
Newington, CT 06111-4121

Phone

(860) 667-3636

Fax

(860) 667-3868

NPI assigned

Jun 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, CT2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Life Family Chiropractic of Venice, LLCGroup PAC ID 6608244421, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Life Family Chiropractic of Venice LLC

  • Chiropractor
  • Nokomis, FL
  • NPI 1013643725
  Medicare reassignment Care Compare group NPD
• Judson Family Chiropractic LLC

  • Chiropractor
  • Newington, CT
  • NPI 1790224434
  Medicare reassignment NPD (past) Authorized official
• Life Family Chiropractic of Manchester LLC

  • Chiropractor
  • Manchester, CT
  • NPI 1164284220
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619905908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2434 BERLIN TPKE",
            "address_2": "UNIT 22",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061114121",
            "telephone_number": "860-667-3636",
            "fax_number": "860-667-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2434 BERLIN TPKE",
            "address_2": "UNIT 22",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061114121",
            "telephone_number": "860-667-3636",
            "fax_number": "860-667-3868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDSON",
        "first_name": "STEPHEN",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Jorel, LCSW
• Joseph T Anquillare, MD, LLC
• Liza Beth Josephson, L.C.S.W.
• Littymol Joy, L.O.
• Judson Family Chiropractic LLC
• Liljana Kaci, LCSW
• Jeffrey Mark Kagan, M.D.
• Alex Michael Kane, DC
• Gregory Kane
• Craig M Kaufman, D.P.M.

• All providers in Newington, CT
• Chiropractor in Connecticut

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.