Organization Active NPI

Healing Hands Chiropractic, LLC

  • Chiropractor
  • Wallingford, CT
National Provider Identifier
1992168199
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001738 Issued in CT
Legal business name
HEALING HANDS CHIROPRACTIC, LLC
Practice address
100 Center St Ste 100
Wallingford, CT 06492-4112
Phone
(203) 626-9994
Fax
(203) 284-3677
NPI assigned
Apr 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Authorized official

Name
Tracy D Malton, D.C.NPI 1013180512
Title
Chiropractor/Owner
Phone
(203) 626-9994

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 001738 CT Primary

Addresses

Primary practice location

100 Center St Ste 100
Wallingford, CT 06492-4112

Mailing address

100 Center St Ste 100
Wallingford, CT 06492-4112
Phone (203) 626-9994

Other identifiers 2

IdentifierTypeStateIssuer
57727935-000OtherCTCT REGISTRATION
1013180512OtherCTINDIVIDUAL NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160602000962 CT Part B Supplier - Clinic/Group Practice 6608166749 Receives reassigned benefits from 1 practitioner
Practice locations: Wallingford, CT

National Provider Directory

National Provider Directory

Locations

100 Center St
Wallingford, CT 06492
Phone (203) 213-0121

100 Center St
Ste 100
Wallingford, CT 06492
Phone (203) 626-9994

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1992168199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CENTER ST STE 100",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064924112",
            "telephone_number": "203-626-9994",
            "fax_number": "203-284-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CENTER ST STE 100",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064924112",
            "telephone_number": "203-626-9994",
            "fax_number": "203-284-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HANDS CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-04",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "MALTON",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "203-626-9994",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT REGISTRATION",
            "identifier": "57727935-000",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1013180512",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.