Active NPI
Rosanne M Gregory, D.C.
- Chiropractor
- South Windsor, CT
National Provider Identifier
1922042563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 001149
- Practice address
- 1330 Sullivan Ave
South Windsor, CT 06074-2713 - Phone
- (860) 644-2437
- Fax
- (860) 644-8590
- NPI assigned
- Jun 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 001149 | CT | Primary |
Addresses
Primary practice location
1330 Sullivan Ave
South Windsor, CT 06074-2713
Mailing address
1330 Sullivan Ave
South Windsor, CT 06074-2713
Phone (860) 644-2437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001149 | Other | CT | CHIROPRACTIC LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001149 | CT | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340236800000",
"number": "1922042563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 SULLIVAN AVE",
"city": "SOUTH WINDSOR",
"state": "CT",
"postal_code": "060742713",
"telephone_number": "860-644-2437",
"fax_number": "860-644-8590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 SULLIVAN AVE",
"city": "SOUTH WINDSOR",
"state": "CT",
"postal_code": "060742713",
"telephone_number": "860-644-2437",
"fax_number": "860-644-8590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGORY",
"first_name": "ROSANNE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-15",
"last_updated": "2012-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CT",
"license": "001149",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTIC LICENSE",
"identifier": "001149",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Windsor, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.