Groton Chiropractic Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

000502 Issued in CT

Legal business name

GROTON CHIROPRACTIC CENTER, LLC

Practice address

1057 Poquonnock Rd
Groton, CT 06340-4220

Phone

(860) 445-4148

Fax

(860) 449-1375

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Mascaro, D.C.

Title

Doctor of Chiropractic/Owner

Phone

(860) 445-4148

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659462307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1057 POQUONNOCK RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404220",
            "telephone_number": "860-445-4148",
            "fax_number": "860-449-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 POQUONNOCK RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404220",
            "telephone_number": "860-445-4148",
            "fax_number": "860-449-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROTON CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASCARO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC/OWNER",
        "authorized_official_telephone_number": "860-445-4148",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "000502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1770503492",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca A Grillo
• Robert A Grillo Jr., M.D.
• Steven David Grob, D.C.
• Margaret Gross, M.D.
• Groton Ambulance Assoc Inc
• Groton Eye Center, LLC.
• Benjamin John Grover, IDC
• Carolyn Jonne Groves, N.D.
• Growing Potential, LLC
• Diana Carson Gryszkiewicz, LPC

• Chiropractor in Groton, CT
• Providers in Groton, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.