NPIMap

Organization Active NPI

Charlestin Chiropractic Group LLC

  • Chiropractor
  • Rocky Hill, CT
National Provider Identifier
1720685118
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHARLESTIN CHIROPRACTIC GROUP LLC
Practice address
2080 Silas Deane Hwy FL 3
Rocky Hill, CT 06067-2334
Phone
(203) 553-7213
NPI assigned
Oct 8, 2020
Last updated
Dec 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Authorized official

Name
Jonathan Charlestin, DCNPI 1316598345
Title
Clinical Director
Phone
(203) 526-6577

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2080 Silas Deane Hwy FL 3
Rocky Hill, CT 06067-2334

Mailing address

PO Box 322
Rocky Hill, CT 06067-0322

Other practice location 1

171 Ferry Blvd
Stratford, CT 06615-6052
Phone (860) 553-7213

Other names 1

  • Charlestin Chiropractic Group Other name

National Provider Directory

National Provider Directory

Locations

171 Ferry Blvd
Stratford, CT 06615
Phone (860) 553-7213

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1720685118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 322",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060670322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 SILAS DEANE HWY FL 3",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060672334",
            "telephone_number": "203-553-7213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "171 Ferry Blvd",
            "address_purpose": "LOCATION",
            "city": "Stratford",
            "state": "CT",
            "postal_code": "066156052",
            "country_code": "US",
            "telephone_number": "860-553-7213",
            "fax_number": "860-257-9574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHARLESTIN CHIROPRACTIC GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A",
        "authorized_official_last_name": "CHARLESTIN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "203-526-6577",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charlestin Chiropractic Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rocky Hill, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.