Organization Active NPI

Ridgefield Chiropractic & Wellness Center, LLC

  • Chiropractor
  • Ridgefield, CT
National Provider Identifier
1629374400
Registry record updated Jan 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001259 Issued in CT
Legal business name
RIDGEFIELD CHIROPRACTIC & WELLNESS CENTER, LLC
Practice address
10 South St
Suite 205
Ridgefield, CT 06877-4124
Phone
(203) 431-1688
Fax
(203) 431-1817
NPI assigned
Jan 27, 2011
Last updated
Jan 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2011

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

Authorized official

Name
Dr. Christopher Charles Mascetta, D.C.NPI 1083769830
Title
Member of LLC- Owner of Practice
Phone
(203) 431-1688

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
Chiropractor 111N00000X 001259 CT Primary

Addresses

Primary practice location

10 South St
Suite 205
Ridgefield, CT 06877-4124

Mailing address

10 South St
Suite 205
Ridgefield, CT 06877-4124
Phone (203) 431-1688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111230000416 CT Part B Supplier - Clinic/Group Practice 1153597877 Receives reassigned benefits from 1 practitioner
Practice locations: Ridgefield, CT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296086400000",
    "number": "1629374400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SOUTH ST",
            "address_2": "SUITE 205",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774124",
            "telephone_number": "203-431-1688",
            "fax_number": "203-431-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SOUTH ST",
            "address_2": "SUITE 205",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774124",
            "telephone_number": "203-431-1688",
            "fax_number": "203-431-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEFIELD CHIROPRACTIC & WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-27",
        "last_updated": "2011-01-27",
        "status": "A",
        "authorized_official_last_name": "MASCETTA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "MEMBER OF LLC- OWNER OF PRACTICE",
        "authorized_official_telephone_number": "203-431-1688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; 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.