Individual provider Active NPI

Adam Sobilo, DC

  • Chiropractor
  • Plainville, CT
National Provider Identifier
1992459838
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
002248 Issued in CT
Practice address
17 Farmington Ave Ste B1
Plainville, CT 06062-1774
Phone
(860) 479-1470
Fax
(860) 254-1139
NPI assigned
Feb 9, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 002248 CT Primary

Addresses

Primary practice location

17 Farmington Ave Ste B1
Plainville, CT 06062-1774

Mailing address

17 Farmington Ave Ste B1
Plainville, CT 06062-1774
Phone (860) 479-1470

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220527000962 CT Practitioner - Chiropractic 3577941806

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002248CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ace Chiropractic LLC Chiropractor Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1992459838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 FARMINGTON AVE STE B1",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060621774",
            "telephone_number": "860-479-1470",
            "fax_number": "860-254-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 FARMINGTON AVE STE B1",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060621774",
            "telephone_number": "860-479-1470",
            "fax_number": "860-254-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBILO",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-09",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "002248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainville, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.