NPIMap

Organization Active NPI

Carbone Chiropractic Center LLC

  • Chiropractor
  • Wethersfield, CT
National Provider Identifier
1972686103
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
000907 Issued in CT
Legal business name
CARBONE CHIROPRACTIC CENTER LLC
Practice address
82-86 Wolcott Hill Rd
Suite #1
Wethersfield, CT 06109-1252
Phone
(860) 296-4446
Fax
(860) 296-0041
NPI assigned
Oct 23, 2006
Last updated
Apr 1, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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

Authorized official

Name
Dr. Guy Carbone, DCNPI 1518185016
Title
Chiropractor Owner
Phone
(860) 296-4446

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 000907 CT Primary

Addresses

Primary practice location

82-86 Wolcott Hill Rd
Suite #1
Wethersfield, CT 06109-1252

Mailing address

82-86 Wolcott Hill Rd
Suite #1
Wethersfield, CT 06109-1252
Phone (860) 296-4446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060117000892 CT Part B Supplier - Clinic/Group Practice 2567486533 Receives reassigned benefits from 4 practitioners
Practice locations: Wethersfield, CT

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

82-86 Wolcott Hill Rd
Ste 1
Wethersfield, CT 06109
Phone (860) 296-4446

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1972686103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82-86 WOLCOTT HILL RD",
            "address_2": "SUITE #1",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061091252",
            "telephone_number": "860-296-4446",
            "fax_number": "860-296-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82-86 WOLCOTT HILL RD",
            "address_2": "SUITE #1",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061091252",
            "telephone_number": "860-296-4446",
            "fax_number": "860-296-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARBONE CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "CARBONE",
        "authorized_official_first_name": "GUY",
        "authorized_official_title_or_position": "CHIROPRACTOR OWNER",
        "authorized_official_telephone_number": "860-296-4446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "000907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wethersfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; 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.