Dr Michael Ijomah DC LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DR MICHAEL IJOMAH DC LLC

Practice address

1224 Mill St Unit 201
East Berlin, CT 06023-1159

Phone

(860) 592-0073

Fax

(860) 773-0608

NPI assigned

Apr 8, 2022

Last updated

Apr 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Chikezie Ijomah, DCNPI 1598121428

Title

Owner

Phone

(860) 502-5908

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Michael Chikezie Ijomah, DC

  • Chiropractor
  • Simsbury, CT
  • NPI 1598121428
  NPD Authorized official

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649376000000",
    "number": "1881336063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 912",
            "city": "KENT",
            "state": "CT",
            "postal_code": "067570912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 MILL ST UNIT 201",
            "city": "EAST BERLIN",
            "state": "CT",
            "postal_code": "060231159",
            "telephone_number": "860-592-0073",
            "fax_number": "860-773-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MICHAEL IJOMAH DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A",
        "authorized_official_last_name": "IJOMAH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CHIKEZIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-502-5908",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Counseling Center for Women and Children, LLC
• Anthony Cyrulik Jr., COTA
• Rebekka Kelly David
• Andrew Degling, LPC
• Tracey Donovan
• Elder Alarms
• Evernorth Care Providers - Delaware PA
• Mallory Alexis Freeman, APRN
• Gretchen Ruth Hale-West, LPC
• Sarah Hoxha

• Chiropractor in East Berlin, CT
• Providers in East Berlin, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; 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.