Active NPI
Steven Joseph O'Donnell, DC
- Sports Physician Chiropractor
- Meriden, CT
National Provider Identifier
1669529962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 000854
- Practice address
- 74 S Broad St
Meriden, CT 06450-6545 - Phone
- (203) 235-0171
- Fax
- (203) 235-3310
- NPI assigned
- Jan 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 000854 | CT | Primary |
Addresses
Primary practice location
74 S Broad St
Meriden, CT 06450-6545
Mailing address
1655 N Colony Rd
#3005
Meriden, CT 06450-1900
Phone (203) 235-0171
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
693 Broad St
Meriden, CT 06450-4341
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omni Physical & Aquatic Therapy Center, Inc | Past | Accepting new patients | |
| Connecticut Chiropractic Specialists LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
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- NPI 1871619056
-
- Physical Medicine & Rehabilitation Physician
- Wallingford, CT
- NPI 1861537995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368489600000",
"number": "1669529962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1655 N COLONY RD",
"address_2": "#3005",
"city": "MERIDEN",
"state": "CT",
"postal_code": "064501900",
"telephone_number": "203-235-0171",
"fax_number": "203-235-3310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 S BROAD ST",
"city": "MERIDEN",
"state": "CT",
"postal_code": "064506545",
"telephone_number": "203-235-0171",
"fax_number": "203-235-3310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'DONNELL",
"first_name": "STEVEN",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2013-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CT",
"license": "000854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meriden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; 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.