Active NPI
Norwalk Sports & Spine
- Chiropractor
- Norwalk, CT
National Provider Identifier
1740636760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1810
- Legal business name
- NORWALK SPORTS & SPINE
- Practice address
- 488 Main Ave
2ND Floor
Norwalk, CT 06851-1008 - Phone
- (203) 842-8052
- NPI assigned
- May 9, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason Queiros, DC
- Title
- Chiropractor
- Phone
- (203) 842-8052
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1810 | CT | Primary |
Addresses
Primary practice location
488 Main Ave
2ND Floor
Norwalk, CT 06851-1008
Mailing address
488 Main Ave
2ND Floor
Norwalk, CT 06851-1008
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1462752000000",
"number": "1740636760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "488 MAIN AVE",
"address_2": "2ND FLOOR",
"city": "NORWALK",
"state": "CT",
"postal_code": "068511008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "488 MAIN AVE",
"address_2": "2ND FLOOR",
"city": "NORWALK",
"state": "CT",
"postal_code": "068511008",
"telephone_number": "203-842-8052"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORWALK SPORTS & SPINE",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-09",
"last_updated": "2016-05-09",
"status": "A",
"authorized_official_last_name": "QUEIROS",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "203-842-8052",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CT",
"license": "1810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, CT
- Norwalk Pulmonary Consultants,PC
- Norwalk Radiology & Mammography Center
- Norwalk Radiology Consultants PC
- Norwalk Rehabilitation Services Inc (Health & Home Care Resources)
- Norwalk Senior Center, Inc
- Norwalk Surgery Center, LLC
- Norwalk Taxi Inc (Norwalk taxi)
- Norwalk Vision Center LLC (The Norwalk Vision Center)
- Notre Dame Convalescent Home Inc
- Nova MD Wellness Clinic PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.