Precision Chiropractic Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

001390 Issued in CT

Legal business name

PRECISION CHIROPRACTIC CENTER LLC

Practice address

857 N Main Street Ext
Wallingford, CT 06492-2465

Phone

(203) 284-9200

Fax

(203) 294-0410

NPI assigned

Jun 16, 2009

Organization subpart

No

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

Authorized official

Name

Mr. David P Derosa, D.C.NPI 1689790115

Title

Owner

Phone

(203) 284-9200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

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

• David P Derosa, D.C.

  • Chiropractor
  • Wallingford, CT
  • NPI 1689790115
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1891922902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 N MAIN STREET EXT",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922465",
            "telephone_number": "203-284-9200",
            "fax_number": "203-294-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 N MAIN STREET EXT",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922465",
            "telephone_number": "203-284-9200",
            "fax_number": "203-294-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-16",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "DEROSA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-284-9200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Helene Pouliot, MD
• Mark Powers, PA
• Richard Henry Powers, D.C.
• Kevin Pratt, PT
• Jeffrey T Pravda, M.D.
• Karen M. Prestwood, MD
• Christina Prete
• Marla Beth Prete, PT
• Meghan Prevost, PA-C
• Prohealth Laboratory

• Chiropractor in Wallingford, CT
• Providers in Wallingford, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.