Organization Active NPI

Central Connecticut Chiropractic LLC

  • Chiropractor
  • Cheshire, CT
National Provider Identifier
1902217029
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001055 Issued in CT
Legal business name
CENTRAL CONNECTICUT CHIROPRACTIC LLC
Practice address
391 Highland Avenue
Cheshire, CT 06410-2523
Phone
(203) 272-3239
Fax
(203) 272-2224
NPI assigned
May 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Authorized official

Name
Dr. Luigi Dirubba, D.C.NPI 1841384088
Title
Owner
Phone
(203) 272-3239

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 001055 CT Primary

Addresses

Primary practice location

391 Highland Avenue
Cheshire, CT 06410-2523

Mailing address

391 Highland Avenue
Cheshire, CT 06410-2523
Phone (203) 272-3239

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140521000060 CT Part B Supplier - Clinic/Group Practice 8820211857 Receives reassigned benefits from 1 practitioner
Practice locations: Cheshire, CT

National Provider Directory

National Provider Directory

Locations

391 Highland Ave
Cheshire, CT 06410
Phone (203) 271-1990

391 Highland Ave
Ste 1
Cheshire, CT 06410
Phone (203) 272-3239

Practitioners & affiliated clinicians

Practitioners 1

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": "1399852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537747200000",
    "number": "1902217029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 HIGHLAND AVENUE",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102523",
            "telephone_number": "203-272-3239",
            "fax_number": "203-272-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 HIGHLAND AVENUE",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102523",
            "telephone_number": "203-272-3239",
            "fax_number": "203-272-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CONNECTICUT CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-12",
        "last_updated": "2018-09-24",
        "status": "A",
        "authorized_official_last_name": "DIRUBBA",
        "authorized_official_first_name": "LUIGI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-272-3239",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheshire, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.