Organization Active NPI

Advanced Health Professionals, P. C.

  • Chiropractor
  • Norwalk, CT
National Provider Identifier
1740296367
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
000914 Issued in CT
Legal business name
ADVANCED HEALTH PROFESSIONALS, P. C.
Practice address
112 Main Street
Norwalk, CT 06851
Phone
(203) 847-4477
Fax
(203) 847-3186
NPI assigned
Aug 1, 2006
Last updated
May 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2010

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

Authorized official

Name
Robert Neil Goldring, D.C.NPI 1497787477
Title
President
Phone
(203) 847-4477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 000914 CT Primary

Addresses

Primary practice location

112 Main Street
Norwalk, CT 06851

Mailing address

112 Main Street
Norwalk, CT 06851
Phone (203) 847-4477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040113000599 CT Part B Supplier - Clinic/Group Practice 9133029218 Receives reassigned benefits from 3 practitioners
Practice locations: Norwalk, CT

National Provider Directory

National Provider Directory
Tax ID family
Advanced Health Plus Stratford PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1740296367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 MAIN STREET",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "06851",
            "telephone_number": "203-847-4477",
            "fax_number": "203-847-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MAIN STREET",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "06851",
            "telephone_number": "203-847-4477",
            "fax_number": "203-847-3186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALTH PROFESSIONALS, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "GOLDRING",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-847-4477",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "000914",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 19, 2010; 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.

Verify at the official NPI Registry.