NPIMap

Organization Active NPI

Chiropractic Health Center of Glastonbury, LLC

  • Chiropractor
  • Glastonbury, CT
National Provider Identifier
1801036496
Registry record updated May 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
000986 Issued in CT
Legal business name
CHIROPRACTIC HEALTH CENTER OF GLASTONBURY, LLC
Practice address
2934 Main St,
Suite 1
Glastonbury, CT 06033-1027
Phone
(860) 657-8800
Fax
(860) 633-7252
NPI assigned
Feb 23, 2009
Last updated
May 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2011

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

Authorized official

Name
Patrick J. Defrancesco, D.C.NPI 1225124746
Title
Doctor of Chiropractic
Phone
(860) 657-8800

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
Chiropractor 111N00000X 000986 CT Primary

Addresses

Primary practice location

2934 Main St,
Suite 1
Glastonbury, CT 06033-1027

Mailing address

2934 Main St Ste 1
Glastonbury, CT 06033-1027
Phone (860) 657-8800

Other identifiers 4

IdentifierTypeStateIssuer
050000986CT01OtherCTANTHEM BLUECROSS/BLUESHIELD
451983OtherCTAETNA
0229775OtherCTUNITED HEALTHCARE
OV4394OtherCTHEALTHNET/LANDMARK HEALTHCARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110509000191 CT Part B Supplier - Clinic/Group Practice 2062698053 Receives reassigned benefits from 3 practitioners
Practice locations: Glastonbury, CT

National Provider Directory

National Provider Directory

Locations

2934 Main St
Ste 1
Glastonbury, CT 06033
Phone (860) 657-8800

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304640000000",
    "number": "1801036496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2934 MAIN ST STE 1",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331027",
            "telephone_number": "860-657-8800",
            "fax_number": "860-633-7252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2934 MAIN ST,",
            "address_2": "SUITE 1",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331027",
            "telephone_number": "860-657-8800",
            "fax_number": "860-633-7252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC HEALTH CENTER OF GLASTONBURY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-23",
        "last_updated": "2011-05-06",
        "status": "A",
        "authorized_official_last_name": "DEFRANCESCO",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "860-657-8800",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "000986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUECROSS/BLUESHIELD",
            "identifier": "050000986CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "451983",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0229775",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET/LANDMARK HEALTHCARE",
            "identifier": "OV4394",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; 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.