Individual provider Active NPI

Michael Troknya, DC

  • Chiropractor
  • Fairfield, CT
National Provider Identifier
1669579637
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001265 Issued in CT
Practice address
340 Post Rd
Fairfield, CT 06824-6220
Phone
(203) 259-3210
NPI assigned
Sep 20, 2006
Last updated
Dec 1, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 001265 CT Primary

Addresses

Primary practice location

340 Post Rd
Fairfield, CT 06824-6220

Mailing address

340 Post Rd
Fairfield, CT 06824-6220
Phone (203) 259-3210

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051003000015 CT Practitioner - Chiropractic 2860427622 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001265CTMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Synergy, LLC Chiropractor CurrentSince Sep 12, 2005 Accepting new patients

Locations

340 Post Rd
Fairfield, CT 06824
Phone (203) 259-3210

85 Mill Plain Rd
Fairfield, CT 06824
Phone (203) 368-9990

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291161600000",
    "number": "1669579637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 POST RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246220",
            "telephone_number": "203-259-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 POST RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246220",
            "telephone_number": "203-259-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROKNYA",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.