Mark E. Godfrey, D.C.

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

001361 Issued in CT

Practice address

776 Farmington Ave
West Hartford, CT 06119-1677

Phone

(860) 232-3277

Fax

(860) 232-6277

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Godfrey Chiropractic & Rehabiliation

  • Chiropractor
  • Farmington, CT
  • NPI 1619160256
  NPD Authorized official

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243382400000",
    "number": "1740294438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 FARMINGTON AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191677",
            "telephone_number": "860-232-3277",
            "fax_number": "860-232-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 FARMINGTON AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191677",
            "telephone_number": "860-232-3277",
            "fax_number": "860-232-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODFREY",
        "first_name": "MARK",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2009-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "CT",
            "license": "001361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paulette Greer Gleit, LCSW LLC
• Susan Gluck, LCSW
• Yolanda Gobes, MSW
• Jason Alan Gockel, PSY.D
• Brian Aurel Godard, O.D.
• Goggans Dental Associates of Connecticut, P.C.
• Bryan Goh
• Steven B Goldblatt, M.D.
• Brandon L Goldstein, PHD
• Danielle Goldstein

• Nutrition Chiropractor in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Nutrition Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; 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.