J&M Family Chiropractic LLC

Key facts

NPI

1962873273

Entity type

Organization (NPI type 2)

Primary specialty

Chiropractor 111N00000X

License

002011 (CT)

Legal business name

J&M FAMILY CHIROPRACTIC LLC

Practice address

226 Main St N
Woodbury, CT 06798-2918

Phone

(860) 838-1038

Fax

(203) 586-1477

NPI assigned

Oct 13, 2015

Organization subpart

No

Authorized official

Name

Dr. Melissa Roberts, DC NPI 1710355334

Title

Owner

Phone

(860) 838-1038

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

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

• Melissa Roberts, D.C Chiropractor · Woodbury, CT · NPI 1710355334
  Medicare reassignment Care Compare group NPD Authorized official CHIROPRACTOR · CT
• Joseph Roberts III, DC Chiropractor · Woodbury, CT · NPI 1992176200
  Medicare reassignment Care Compare group NPD CHIROPRACTOR · CT

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CT

Medicare enrollment records

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 13, 2022.

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655078400000",
    "number": "1962873273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 MAIN ST N",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "067982918",
            "telephone_number": "860-838-1038",
            "fax_number": "203-586-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 MAIN ST N",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "067982918",
            "telephone_number": "860-838-1038",
            "fax_number": "203-586-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&M FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-838-1038",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "002011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Woodbury, CT · Chiropractor in Connecticut