Mitchell Graham, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2080 Issued in CT

Practice address

121 Talcott Rd
West Hartford, CT 06110

Phone

(860) 606-7051

NPI assigned

Feb 21, 2018

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

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Spine by Design Inc

  • Chiropractor
  • West Hartford, CT
  • NPI 1942785423
  Medicare reassignment NPD Authorized official
• Atlas Chiropractic, Inc.

  • Chiropractor
  • East Haven, CT
  • NPI 1710392691
  NPD (past)

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1962903492",
    "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": "06110",
            "telephone_number": "860-606-7051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "185 Main St",
            "address_purpose": "LOCATION",
            "city": "East Haven",
            "state": "CT",
            "postal_code": "065123032",
            "country_code": "US",
            "telephone_number": "203-466-1111",
            "fax_number": "203-468-9684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-21",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "2080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Gorski, LPC
• Stephanie Gort, PA-C
• Karina Goykman, D.D.S, M.S.
• Hannah Grabowski, LPC
• Ian Gragnolati, PA-C
• Christina Grandbois, LPC
• Carol Meredeth Grant
• Daniel Granton, DPT
• Damion Grasso, PHD
• Jodi Gray, MSW

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.