Kent Chiropractic Associates LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

KENT CHIROPRACTIC ASSOCIATES LLC

Practice address

64 Maple St
Kent, CT 06757-1721

Phone

(860) 502-5908

Fax

(860) 773-0608

NPI assigned

Dec 17, 2018

Last updated

Aug 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Chikezie Ijomah, DCNPI 1598121428

Title

Owner

Phone

(860) 502-5908

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

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.

• Michael Chikezie Ijomah, DC

  • Chiropractor
  • Simsbury, CT
  • NPI 1598121428
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692316800000",
    "number": "1669944542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 912",
            "city": "KENT",
            "state": "CT",
            "postal_code": "067570912",
            "fax_number": "860-773-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 MAPLE ST",
            "city": "KENT",
            "state": "CT",
            "postal_code": "067571721",
            "telephone_number": "860-502-5908",
            "fax_number": "860-773-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT CHIROPRACTIC ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A",
        "authorized_official_last_name": "IJOMAH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CHIKEZIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-502-5908",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• High Watch Recovery Center
• Melissa E Jacobs, LPC, NCC
• John Thomas Kennedy, EDD, LMHC
• Kent Apothecary LLC (Kent Station Pharmacy)
• Kent Apothecary LLC (Kent Station Pharmacy)
• Kent Dentistry & Implants
• Kent Eyecare, LLC
• Kent Med Peds, LLC
• Kent Pharmacy, LLC
• Kent Physical Therapy, LLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.