Christopher M Coulis, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1629 Issued in CT

Practice address

2415 Boston Post Rd
Unit 11
Guilford, CT 06437-4348

Phone

(203) 453-2001

Fax

(203) 453-2010

NPI assigned

Jul 15, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shoreline Spine & Pain Associates, P.C.

  • Chiropractor
  • Guilford, CT
  • NPI 1457422115
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1942226402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 BOSTON POST RD",
            "address_2": "UNIT 11",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064374348",
            "telephone_number": "203-453-2001",
            "fax_number": "203-453-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 BOSTON POST RD",
            "address_2": "UNIT 11",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064374348",
            "telephone_number": "203-453-2001",
            "fax_number": "203-453-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COULIS",
        "first_name": "CHRISTOPHER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "1629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LANDMARK",
            "identifier": "CT23920",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "50001629",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7108792",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connecticut Orthopaedic Specialists, PC
• Cynthia D Conrad, MD
• Conti Orthopedic Appliance, Inc.
• Jennifer Cook, PTA
• Rosemary Costanzo, MSPT
• Creative Wellness Counseling, LLC
• Celeste Marie Cremin Endes, LCSW
• Kimberly Cricchi, APRN, FNP-C
• Donna R Criscenzo, M.D.
• Kathleen Mary Croce, PH D

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.