Active NPI
Joseph James Neal, DC
- Chiropractor
- Glastonbury, CT
National Provider Identifier
1629132766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 167
- Practice address
- 49 Welles St
Suite 207
Glastonbury, CT 06033 - Phone
- (860) 633-3525
- Fax
- (860) 633-7186
- NPI assigned
- Dec 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 000167 | CT | |
| Chiropractor | 111N00000X | 167 | CT | Primary |
Addresses
Primary practice location
49 Welles St
Suite 207
Glastonbury, CT 06033
Mailing address
49 Welles St
Suite 207
Glastonbury, CT 06033
Phone (860) 633-3525
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0511238 | Other | AETNA | |
| 732518 | Other | CONNECTICARE | |
| P485802 | Other | OXFORD | |
| 050000167CT01 | Other | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000167 | CT | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292803200000",
"number": "1629132766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 WELLES ST",
"address_2": "SUITE 207",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "06033",
"telephone_number": "860-633-3525",
"fax_number": "860-633-7186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 WELLES ST",
"address_2": "SUITE 207",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "06033",
"telephone_number": "860-633-3525",
"fax_number": "860-633-7186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEAL",
"first_name": "JOSEPH",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-21",
"last_updated": "2010-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "CT",
"license": "000167",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CT",
"license": "167",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0511238",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "732518",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P485802",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "050000167CT01",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Glastonbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.