Summit Sport Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SUMMIT SPORT CHIROPRACTIC

Practice address

45 Harbor Dr
Stamford, CT 06902-7405

Phone

(203) 539-1892

NPI assigned

Feb 7, 2020

Organization subpart

No

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

Authorized official

Name

Alexis Kantor, DCNPI 1477184760

Title

Alexis Kantor

Phone

(845) 729-0462

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Alexis Kantor, DC

  • Chiropractor
  • Stamford, CT
  • NPI 1477184760
  NPD Authorized official

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581033600000",
    "number": "1992337992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 GEORGETOWN OVAL",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109566804",
            "telephone_number": "845-729-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 HARBOR DR",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069027405",
            "telephone_number": "203-539-1892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT SPORT CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-07",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A",
        "authorized_official_last_name": "KANTOR",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "ALEXIS KANTOR",
        "authorized_official_telephone_number": "845-729-0462",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.