Donna Esty Funk, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

000484 Issued in CT

Practice address

90 Main St
Suite 103
Centerbrook, CT 06409

Phone

(860) 767-2119

Fax

(860) 767-2836

NPI assigned

Dec 8, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Lower Valley Chiropractic Physicians, LLC

  • Chiropractor
  • Centerbrook, CT
  • NPI 1134307002
  Authorized official Same address or phone

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689733024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MAIN ST",
            "address_2": "SUITE 103",
            "city": "CENTERBROOK",
            "state": "CT",
            "postal_code": "06409",
            "telephone_number": "860-767-2119",
            "fax_number": "860-767-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MAIN ST",
            "address_2": "SUITE 103",
            "city": "CENTERBROOK",
            "state": "CT",
            "postal_code": "06409",
            "telephone_number": "860-767-2119",
            "fax_number": "860-767-2836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNK",
        "first_name": "DONNA",
        "middle_name": "ESTY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "000484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "0500000484CT01",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ernest D. Reamer DMD PC
• Essex Ambulance Association Incorporated
• Essex Board of Education
• Estuary Transit District (9 Town Transit)
• Cynthia K. Frantz, D.C.,L.AC.
• Diane Elizabeth Gawronski, DMD MSD
• Rachel McCabe Goodman
• Diana Harbison, MD
• Helen Renate Kilby
• Lower Valley Chiropractic Physicians, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.