Organization Active NPI

Norwalk Sports & Spine

  • Chiropractor
  • Norwalk, CT
National Provider Identifier
1740636760
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1810 Issued in CT
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

Updated by the provider on May 9, 2016

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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

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.

Verify at the official NPI Registry.