Individual provider Active NPI

Alissa Stacey Merzon, DC

  • Chiropractor
  • Norwalk, CT
National Provider Identifier
1689790180
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
000888 Issued in CT
Practice address
430 Main Avenue
Suite 201
Norwalk, CT 06851
Phone
(203) 847-7999
Fax
(203) 847-3033
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 000888 CT Primary
Chiropractor 111N00000X 3992 NJ
Chiropractor 111N00000X X006283 NY

Addresses

Primary practice location

430 Main Avenue
Suite 201
Norwalk, CT 06851

Mailing address

27 Orchard Drive
Redding, CT 06896
Phone (203) 847-7999

Other identifiers 1

IdentifierTypeStateIssuer
050000888CT01OtherCTBLUE CROSS BLUE SHIELD

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
000888CTMDPsychologist
3992NJMDChiropractor
X006283NYMDChiropractor
888CTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Back and Neck Care of Connecticut, L.L.C. Chiropractor Past Accepting new patients
Merritt Chiropractic Center L.L.C. Chiropractor Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689790180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 ORCHARD DRIVE",
            "city": "REDDING",
            "state": "CT",
            "postal_code": "06896",
            "telephone_number": "203-847-7999",
            "fax_number": "203-847-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 MAIN AVENUE",
            "address_2": "SUITE 201",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "06851",
            "telephone_number": "203-847-7999",
            "fax_number": "203-847-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERZON",
        "first_name": "ALISSA",
        "middle_name": "STACEY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "000888",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "3992",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X006283",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "050000888CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

  • 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.