Organization Active NPI

Saugatuck Chiropractic, LLC

  • Chiropractor
  • Westport, CT
National Provider Identifier
1689028292
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001914 Issued in CT
Legal business name
SAUGATUCK CHIROPRACTIC, LLC
Practice address
1045 Post Rd E
Westport, CT 06880-5370
Phone
(203) 259-2124
Fax
(203) 259-2004
NPI assigned
Apr 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Authorized official

Name
Dr. Nathan D. King, D.C.NPI 1558623603
Title
Chiropractor
Phone
(203) 259-2124

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 001914 CT Primary

Addresses

Primary practice location

1045 Post Rd E
Westport, CT 06880-5370

Mailing address

1045 Post Rd E
Westport, CT 06880-5370
Phone (203) 259-2124

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160803001801 CT Part B Supplier - Clinic/Group Practice 5294029922 Receives reassigned benefits from 1 practitioner
Practice locations: Westport, CT

National Provider Directory

National Provider Directory

Locations

1720 Post Rd E
Ste 215
Westport, CT 06880
Phone (203) 259-2124

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1689028292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 POST RD E",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068805370",
            "telephone_number": "203-259-2124",
            "fax_number": "203-259-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 POST RD E",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068805370",
            "telephone_number": "203-259-2124",
            "fax_number": "203-259-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAUGATUCK CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "203-259-2124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.