Bloomfield Chiropractic Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

001213 Issued in CT

Legal business name

BLOOMFIELD CHIROPRACTIC CENTER, LLC

Practice address

11 Mountain Ave
Bloomfield, CT 06002-2343

Phone

(860) 243-2142

Fax

(860) 242-0274

NPI assigned

Jan 18, 2008

Last updated

Jan 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sean F Robotham, D.C.NPI 1104938950

Title

Owner

Phone

(860) 243-2142

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sean F Robotham, DC

  • Chiropractor
  • Bloomfield, CT
  • NPI 1104938950
  Medicare reassignment NPD Authorized official
• Barry F Walsh, DC

  • Chiropractor
  • Granby, CT
  • NPI 1063513968
  NPD (past)

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1962688036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MOUNTAIN AVE",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022343",
            "telephone_number": "860-243-2142",
            "fax_number": "860-242-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MOUNTAIN AVE",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022343",
            "telephone_number": "860-243-2142",
            "fax_number": "860-242-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMFIELD CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "ROBOTHAM",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-243-2142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "050001213CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Allen Bissell, M.D.
• Ronald Jeffrey Bloom, M.D.
• Bloomfield Advanced Neck & Back Care
• Bloomfield ASC LLC
• Bloomfield Board of Education
• Bloomfield Dental Care Inc
• Bloomfield Eye Surgery Center LLC (The Eye Surgery Center)
• Bloomfield Family Dental PC
• Bloomfield Family Dental, PC
• Bloomfield Foot Specialists,LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.