Individual provider Active NPI

Glenn Chasanoff

  • Chiropractor
  • New Haven, CT
National Provider Identifier
1992832166
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001408 Issued in CT
Practice address
951 State St
New Haven, CT 06511-3929
Phone
(203) 787-1331
Fax
(203) 787-1595
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 001408 CT Primary

Addresses

Primary practice location

951 State St
New Haven, CT 06511-3929

Mailing address

951 State St
New Haven, CT 06511-3929
Phone (203) 787-1331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001408CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Associates of Bridgeport, LLC Chiropractor PastSince Sep 1, 2013 Accepting new patients
Chiropractic Associates of Bridgeport Chiropractor Past Accepting new patients
New Haven Chiropractic, LLC Chiropractor Past Accepting new patients

Organizations & group practices 3

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992832166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 STATE ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065113929",
            "telephone_number": "203-787-1331",
            "fax_number": "203-787-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 STATE ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065113929",
            "telephone_number": "203-787-1331",
            "fax_number": "203-787-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASANOFF",
        "first_name": "GLENN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.