Individual provider Active NPI

Thomas Michael Connelly, D.C.

  • Chiropractor
  • Washington, DC
National Provider Identifier
1780778654
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15398 Issued in DC
Practice address
5100 Wisconsin Ave NW
Suite 251
Washington, DC 20016-4119
Phone
(202) 362-0900
Fax
(202) 362-1391
NPI assigned
Oct 3, 2006
Last updated
Nov 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15398 DC Primary

Addresses

Primary practice location

5100 Wisconsin Ave NW
Suite 251
Washington, DC 20016-4119

Mailing address

5100 Wisconsin Ave NW
Suite 251
Washington, DC 20016-4119
Phone (202) 362-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15398DCMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1780778654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 WISCONSIN AVE NW",
            "address_2": "SUITE 251",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164119",
            "telephone_number": "202-362-0900",
            "fax_number": "202-362-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 WISCONSIN AVE NW",
            "address_2": "SUITE 251",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164119",
            "telephone_number": "202-362-0900",
            "fax_number": "202-362-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNELLY",
        "first_name": "THOMAS",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DC",
            "license": "15398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.