Dr. Jonathans Acupuncture and Chiropractic Ctr. LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

000925 Issued in CT

Legal business name

DR. JONATHANS ACUPUNCTURE AND CHIROPRACTIC CTR. LLC

Practice address

10 Colonial Rd
New Fairfield, CT 06812-5023

Phone

(203) 546-8736

Fax

(203) 546-8736

NPI assigned

Oct 1, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan David Lavelle, D.C.

Title

Owner

Phone

(203) 546-8736

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Jonathan Lavelle Former legal business name

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378684800000",
    "number": "1780918128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 COLONIAL RD",
            "city": "NEW FAIRFIELD",
            "state": "CT",
            "postal_code": "068125023",
            "telephone_number": "203-546-8736",
            "fax_number": "203-775-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 COLONIAL RD",
            "city": "NEW FAIRFIELD",
            "state": "CT",
            "postal_code": "068125023",
            "telephone_number": "203-546-8736",
            "fax_number": "203-546-8736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JONATHANS ACUPUNCTURE AND CHIROPRACTIC CTR. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-01",
        "last_updated": "2013-09-09",
        "status": "A",
        "authorized_official_last_name": "LAVELLE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-546-8736",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "000925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELF NPI",
            "identifier": "1992935829",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Jonathan Lavelle",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Taylor Debartolo
• Renee Derosa, MD
• Emily Ding
• Diane Dioguardi
• Caitlin Doody, A.P.R.N.
• Mary Lisa Dransfield, P.T.
• Kelly Duque, LPCA
• Amy Fairchild
• Patrick Fettinger, DPM
• Emily Fiscella, LPC

• Chiropractor in New Fairfield, CT
• Providers in New Fairfield, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.