Spine by Design Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SPINE BY DESIGN INC

Practice address

121 Talcott Rd
West Hartford, CT 06110-1239

Phone

(860) 606-7051

NPI assigned

Oct 1, 2018

Organization subpart

No

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

Authorized official

Name

Mitchell C GrahamNPI 1962903492

Title

Owner

Phone

(860) 214-2937

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

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

• Mitchell Graham, DC

  • Chiropractor
  • West Hartford, CT
  • NPI 1962903492
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538352000000",
    "number": "1942785423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 TALCOTT RD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061101239",
            "telephone_number": "860-606-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 TALCOTT RD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061101239",
            "telephone_number": "860-606-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE BY DESIGN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-01",
        "last_updated": "2018-10-01",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-214-2937"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marta Southworth, BSW, MSW, LCSW, CBIS
• Norbert Michael Spencer, MS, LMFT, LPC
• Sydney Spencer
• Sharon C Speranza, M.A., CCC-A
• Kerry J Sperrazza-Gabow, APRN-CNP
• Jennifer M Spirito, LCSW
• Michelle Spoto
• Amy Marie Sprague, CCC-SLP
• Jani Springer
• Spruce Brook Enterprises Inc

• Chiropractor in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.