Organization Active NPI

Caldarone Chiropractic Center LLC

  • Neurology Chiropractor
  • Branford, CT
National Provider Identifier
1639390545
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
1009 Issued in CT
Legal business name
CALDARONE CHIROPRACTIC CENTER LLC
Practice address
239 N Main St
Branford, CT 06405-3020
Phone
(203) 488-1105
Fax
(203) 488-8113
NPI assigned
May 1, 2007
Last updated
Sep 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Authorized official

Name
Dr. Bruce D Caldarone, D.C.NPI 1407929664
Title
Owner
Phone
(203) 488-1105

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
Neurology Chiropractor 111NN0400X 1009 CT Primary

Addresses

Primary practice location

239 N Main St
Branford, CT 06405-3020

Mailing address

239 N Main St
Branford, CT 06405-3020
Phone (203) 488-1105

Other identifiers 4

IdentifierTypeStateIssuer
P429018OtherCTOXFORD ID
050001009CT02OtherCTANTHEM PROVIDER ID
3759643OtherCTAETNA ID
CT01009OtherCTLANDMARK PROVIDER ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050509000697 CT Part B Supplier - Clinic/Group Practice 1759321888 Receives reassigned benefits from 1 practitioner
Practice locations: Branford, CT

National Provider Directory

National Provider Directory

Locations

23 S Main St
Branford, CT 06405
Phone (203) 488-1105

239 N Main St
Branford, CT 06405
Phone (203) 488-1105

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": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1639390545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 N MAIN ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053020",
            "telephone_number": "203-488-1105",
            "fax_number": "203-488-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 N MAIN ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053020",
            "telephone_number": "203-488-1105",
            "fax_number": "203-488-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALDARONE CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "CALDARONE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-488-1105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "CT",
            "license": "1009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD ID",
            "identifier": "P429018",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER ID",
            "identifier": "050001009CT02",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID",
            "identifier": "3759643",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LANDMARK PROVIDER ID",
            "identifier": "CT01009",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Branford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.