Individual provider Active NPI

Mandy Nemeth, DC

  • Chiropractor
  • Milford, CT
National Provider Identifier
1902396096
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
002109 Issued in CT
Practice address
88 Noble Ave Ste 106
Milford, CT 06460-4738
Phone
(203) 283-5404
Fax
(203) 283-5405
NPI assigned
May 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 002109 CT Primary

Addresses

Primary practice location

88 Noble Ave Ste 106
Milford, CT 06460-4738

Mailing address

88 Noble Ave Ste 106
Milford, CT 06460-4738
Phone (203) 283-5404

Other names 1

  • Dr. Mandy Lock Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190301001282 CT Practitioner - Chiropractic 8729327127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Active Health and Wellness Center LLCGroup PAC ID 8123113339, 2 clinicians

Practice addresses (Care Compare)

41 Cherry St
Suite 101
Milford, CT 06460-3541
Phone (203) 283-5404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002109CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Active Health & Wellness Center LLC Chiropractor CurrentSince Apr 13, 2020 Accepting new patients

Locations

88 Noble Ave
Ste 106
Milford, CT 06460
Phone (203) 283-5404

Organizations & group practices 1

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": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1902396096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 NOBLE AVE STE 106",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604738",
            "telephone_number": "203-283-5404",
            "fax_number": "203-283-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 NOBLE AVE STE 106",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604738",
            "telephone_number": "203-283-5404",
            "fax_number": "203-283-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMETH",
        "first_name": "MANDY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "002109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANDY",
            "last_name": "LOCK",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.