Active NPI
Kristine Marie Demarco, D.C, M.S.
- Nutrition Chiropractor
- Fairfield, CT
National Provider Identifier
1720107402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- 001394
- Practice address
- 825 Kings Hwy E
Fairfield, CT 06825-5419 - Phone
- (203) 333-6544
- Fax
- (203) 333-6584
- NPI assigned
- Mar 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 001394 | CT | Primary |
Addresses
Primary practice location
825 Kings Hwy E
Fairfield, CT 06825-5419
Mailing address
825 Kings Hwy E
Fairfield, CT 06825-5419
Phone (203) 333-6544
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040223000708 | CT | Practitioner - Chiropractic | 8325934805 | Practice locations: Fairfield, CT |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2000
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
825 Kings Hwy E
Fairfield, CT 06825-5419
Phone (203) 258-5468
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1394 | CT | MD | Addiction (Substance Use Disorder) Counselor |
| 001394 | CT | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720107402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 KINGS HWY E",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068255419",
"telephone_number": "203-333-6544",
"fax_number": "203-333-6584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 KINGS HWY E",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068255419",
"telephone_number": "203-333-6544",
"fax_number": "203-333-6584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMARCO",
"first_name": "KRISTINE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.C, M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "CT",
"license": "001394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.