Individual provider Active NPI

Noel Heriberto Sepulveda, D.C., M.S.

  • Chiropractor
  • Bridgeport, CT
National Provider Identifier
1831477975
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7.001890 Issued in CT
Practice address
80 Elm St
Bridgeport, CT 06604-4115
Phone
(203) 870-8008
NPI assigned
Jul 22, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7.001890 CT Primary

Addresses

Primary practice location

80 Elm St
Bridgeport, CT 06604-4115

Mailing address

80 Elm St
Bridgeport, CT 06604-4115
Phone (203) 870-8008

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151211001832 CT Practitioner - Chiropractic 7618278805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Preventative Healthcare Solutions LLCGroup PAC ID 3375844566, 2 clinicians

Practice addresses (Care Compare)

80 Elm St
Bridgeport, CT 06604-4115
Phone (203) 870-8008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7.001890CTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Park City Home Care CurrentSince Dec 31, 2023 Accepting new patients
Preventative Healthcare Solutions LLC Chiropractor CurrentSince Sep 1, 2015 Accepting new patients

Locations

80 Elm St
Bridgeport, CT 06604
Phone (203) 870-8008

1187 Broad St
Lowr
Bridgeport, CT 06604

1187 Broad St
Bridgeport, CT 06604
Phone (203) 243-1577

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1831477975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 ELM ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066044115",
            "telephone_number": "203-870-8008",
            "fax_number": "203-330-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 ELM ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066044115",
            "telephone_number": "203-870-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEPULVEDA",
        "first_name": "NOEL",
        "middle_name": "HERIBERTO",
        "name_prefix": "Dr.",
        "credential": "D.C., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-22",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "7.001890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.