Martin Desomma, D.C.

Primary specialty

Occupational Health ChiropractorTaxonomy code 111NX0100X

License

554 Issued in CT

Practice address

276 Highland Ave
Waterbury, CT 06708-3022

Phone

(203) 753-6384

Fax

(203) 759-1705

NPI assigned

May 31, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265673600000",
    "number": "1962405282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 HIGHLAND AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083022",
            "telephone_number": "203-753-6384",
            "fax_number": "203-759-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 HIGHLAND AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083022",
            "telephone_number": "203-753-6384",
            "fax_number": "203-759-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESOMMA",
        "first_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2010-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "CT",
            "license": "554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004069530",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "050000554CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dermatology Associates of Wtby PC
• Elias Constantine Deros, DMD
• Priya Desai, M.D., MSC.
• Kimberly Desio, LPC
• Diane C Desmarais, LPC, LADC
• Ricardo A Desouza
• Raymond Robert Desrochers Jr., APRN
• Christopher Desroches, COUNSELOR
• Rools Dessieux, DDS
• Pamela Jean Dest, INTERN

• Occupational Health Chiropractor in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Occupational Health Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; 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.