Organization Active NPI

Hartsburg Chiropractic Health Center, LLC.

  • Chiropractor
  • Danbury, CT
National Provider Identifier
1891964862
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1564 Issued in CT
Legal business name
HARTSBURG CHIROPRACTIC HEALTH CENTER, LLC.
Practice address
40 Lake Avenue Ext
Danbury, CT 06811-5283
Phone
(203) 792-4476
Fax
(203) 798-2168
NPI assigned
Feb 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Authorized official

Name
Dr. Matthew Thomas Hartsburg, D.C.NPI 1417957283
Title
Owner/Chiropractor
Phone
(203) 792-4476

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1564 CT Primary

Addresses

Primary practice location

40 Lake Avenue Ext
Danbury, CT 06811-5283

Mailing address

40 Lake Avenue Ext
Danbury, CT 06811-5283
Phone (203) 792-4476

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060419000594 CT Part B Supplier - Clinic/Group Practice 6002825072 Receives reassigned benefits from 3 practitioners
Practice locations: Danbury, CT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D2077458Hartsburg Chiropractic Health Center, LLC40 Lake Ave Ext, Danbury, CT 06811Certificate of waiverMay 7, 2028

National Provider Directory

National Provider Directory

Locations

40 Lake Avenue Ext
Danbury, CT 06811
Phone (203) 792-4476

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1891964862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 LAKE AVENUE EXT",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068115283",
            "telephone_number": "203-792-4476",
            "fax_number": "203-798-2168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 LAKE AVENUE EXT",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068115283",
            "telephone_number": "203-792-4476",
            "fax_number": "203-798-2168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTSBURG CHIROPRACTIC HEALTH CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "HARTSBURG",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "203-792-4476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "1564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.