Organization Active NPI

Metzger Chiropractic Center,LLC

  • Clinic/Center
  • North Haven, CT
National Provider Identifier
1780855783
Registry record updated Dec 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
733 Issued in CT
Legal business name
METZGER CHIROPRACTIC CENTER,LLC
Practice address
15 Maiden LN
North Haven, CT 06473-2306
Phone
(203) 239-5980
Fax
(203) 234-7056
NPI assigned
Mar 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2012

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

Authorized official

Name
James Martin Metzger, D.C.NPI 1578656583
Title
Owner
Phone
(203) 239-5980

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
Clinic/Center 261Q00000X 733 CT Primary

Addresses

Primary practice location

15 Maiden LN
North Haven, CT 06473-2306

Mailing address

15 Maiden LN
North Haven, CT 06473-2306
Phone (203) 239-5980

Other identifiers 1

IdentifierTypeStateIssuer
4096774MedicaidCT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080324000011 CT Part B Supplier - Clinic/Group Practice 3476639030 Receives reassigned benefits from 1 practitioner
Practice locations: North Haven, CT

National Provider Directory

National Provider Directory

Locations

15 Maiden Ln
North Haven, CT 06473
Phone (203) 239-5980

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354838400000",
    "number": "1780855783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MAIDEN LN",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732306",
            "telephone_number": "203-239-5980",
            "fax_number": "203-234-7056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MAIDEN LN",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732306",
            "telephone_number": "203-239-5980",
            "fax_number": "203-234-7056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METZGER CHIROPRACTIC CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2012-12-07",
        "status": "A",
        "authorized_official_last_name": "METZGER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-239-5980",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CT",
            "license": "733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4096774",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; 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.