Individual provider Active NPI

Anthony A Nardecchia, D.C.

  • Chiropractor
  • West Haven, CT
National Provider Identifier
1679686844
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001447 Issued in CT
Practice address
666 Savin Ave
West Haven, CT 06516-4901
Phone
(203) 932-0600
Fax
(203) 932-0578
NPI assigned
Aug 15, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 001447 CT Primary

Addresses

Primary practice location

666 Savin Ave
West Haven, CT 06516-4901

Mailing address

666 Savin Ave
West Haven, CT 06516-4901
Phone (203) 932-0600

Other identifiers 4

IdentifierTypeStateIssuer
P3492577OtherCTOXFORD PROVIDER ID
680886OtherCTCONNECTICARE PROVIDER ID
001447OtherCTLANDMARK PROVIDER ID
050001447CT02OtherCTANTHEM PROVIDER ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carpenos Chiropractic Center Past Accepting new patients
Backcare Centers, LLC Chiropractor PastSince Sep 1, 2004 Accepting new patients

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1679686844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "666 SAVIN AVE",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065164901",
            "telephone_number": "203-932-0600",
            "fax_number": "203-932-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 SAVIN AVE",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065164901",
            "telephone_number": "203-932-0600",
            "fax_number": "203-932-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARDECCHIA",
        "first_name": "ANTHONY",
        "middle_name": "A",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PROVIDER ID",
            "identifier": "P3492577",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE PROVIDER ID",
            "identifier": "680886",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LANDMARK PROVIDER ID",
            "identifier": "001447",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER ID",
            "identifier": "050001447CT02",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.