Active NPI
John E Fleming, D.C.
- Chiropractor
- Middletown, CT
National Provider Identifier
1730275264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 266
- Practice address
- 113 Saybrook Rd
Middletown, CT 06457-4704 - Phone
- (860) 346-1777
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 266 | CT | Primary |
Addresses
Primary practice location
113 Saybrook Rd
Middletown, CT 06457-4704
Mailing address
113 Saybrook Rd
Middletown, CT 06457-4704
Phone (860) 346-1777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050000266CT01 | Other | CT | BLUE CROSS AND BLUE SHIEL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120112000860 | CT | Practitioner - Chiropractic | 1355518499 | Practice locations: Middletown, CT |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forest City Chiropractic and Acupuncture, LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Middletown, CT
- NPI 1366140600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730275264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 SAYBROOK RD",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064574704",
"telephone_number": "860-346-1777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 SAYBROOK RD",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064574704",
"telephone_number": "860-346-1777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEMING",
"first_name": "JOHN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CT",
"license": "266",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE SHIEL",
"identifier": "050000266CT01",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.