Eastern Shore Chiropractic Center, L.L.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

EASTERN SHORE CHIROPRACTIC CENTER, L.L.C.

Practice address

377 Colman St
New London, CT 06320-3713

Phone

(860) 444-6363

Fax

(860) 443-3314

NPI assigned

May 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mary Lavin Mooradian, D.C.NPI 1598706160

Title

Chiropractor

Phone

(860) 444-6363

Specialties & licenses 1

Addresses

Practitioners 1

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

• Mary Lavin Mooradian, D.C.

  • Chiropractor
  • New London, CT
  • NPI 1598706160
  NPD (past) Authorized official

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992752596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 COLMAN ST",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063203713",
            "telephone_number": "860-444-6363",
            "fax_number": "860-443-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 COLMAN ST",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063203713",
            "telephone_number": "860-444-6363",
            "fax_number": "860-443-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN SHORE CHIROPRACTIC CENTER, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORADIAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LAVIN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "860-444-6363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dva Healthcare of New London LLC
• Natalie Dyer, APRN FNP-C
• Elena Dykas, LMSW
• Joann M Eaccarino, APRN
• Eastern Connecticut Surgical Care
• Eastlyme Caregivers Caregivers
• Gretchen Edstrom, RN, CDE
• Edward McDermott MD
• Edward McDermott, MD
• Owen Ehrlich, M.D.

• Chiropractor in New London, CT
• Providers in New London, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.