DERBY CHIROPRACTIC OFFICE LLC (NPI# 1215488515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215488515 |
| Entity Type | Organization |
| Organization Name | DERBY CHIROPRACTIC OFFICE LLC |
| Other Organization Name | SOVITA CHIROPRACTIC |
| Practice Address |
111 New Haven Ave Derby CT 06418-2197 |
| Mailing Address |
24 Lewis St Hartford CT 06103-2501 |
| Practice Telephone | 2037366356 |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |
| Authorized Official Name | DR. KARLOS BOGHOSIAN (MEMBER) |
| Authorized Official Telephone | 8602789141 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 001584 | CT | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| SoVita Chiropractic | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Derby Chiropractic Office LLC | 24 Lewis St., Hartford, CT 06103 |
| Street Address |
111 NEW HAVEN AVE |
| City | DERBY |
| State | CT |
| Zip Code | 06418-2197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477583045 | Arnold Dc Rivera | Urology | 111 New Haven Ave, Unit 5, Derby, CT 06418-2197 | 2006-07-03 |
| 1255940094 | Teila Marie Lanci | Social Worker | 111 New Haven Ave, Derby, CT 06418-2197 | 2020-07-28 |
| 1891346144 | Danielle Croteau | Counselor | 111 New Haven Ave, Derby, CT 06418-2197 | 2019-09-26 |
| 1336704949 | Jennifer Elizabeth Ayers | Social Worker | 111 New Haven Ave, Derby, CT 06418-2197 | 2019-05-08 |
| 1235537663 | Dayne Romano Bachmann | Social Worker | 111 New Haven Ave, Derby, CT 06418-2197 | 2014-12-17 |
| 1437345113 | Southern Connecticut Urological | Urology | 111 New Haven Ave, Unit 5, Derby, CT 06418-2197 | 2007-09-17 |
| 1013122993 | Internal Medicine & Pediatrics LLC | Internal Medicine | 111 New Haven Ave, Derby, CT 06418-2197 | 2007-05-13 |
| 1902011885 | Robert Nelson Hyde IIi | Internal Medicine | 111 New Haven Ave, Derby, CT 06418-2197 | 2007-05-13 |
| 1255544078 | Patricia Haag | Occupational Therapist | 111 New Haven Ave, Derby, CT 06418-2197 | 2007-05-08 |
| 1487877007 | Raruenjit Majarone | Physical Therapist | 111 New Haven Ave, Derby, CT 06418-2197 | 2007-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942839105 | Fnu Prinkiya | Student in an Organized Health Care Education/Training Program | Griffin Hospital. 130 Division St, Derby, CT 06418 | 2020-04-08 |
| 1942837935 | Ivanshi A Gondalia | Student in an Organized Health Care Education/Training Program | Griffin Hospital, 130 Division St, Derby, CT 06418 | 2020-03-27 |
| 1972168094 | Pir Saad | Student in an Organized Health Care Education/Training Program | C/o Margie Bliga, Department of Medical Education, Griffin Hospital, 130 Division St, Derby, CT 06418 | 2019-05-03 |
| 1295398899 | Ahtsham Yousaf Chaudhary | Student in an Organized Health Care Education/Training Program | 130 Division St, Griffin Hospital, Derby, CT 06418 | 2019-04-18 |
| 1477016376 | Rabia Usman | Student in an Organized Health Care Education/Training Program | 130 Division St. Griffin Hospital, Derby, CT 06418 | 2019-04-09 |
| 1932661428 | Meshal Qaiser | Student in an Organized Health Care Education/Training Program | 130 Division Street Griffin Hospital, Derby, CT 06418 | 2019-04-03 |
| 1275027666 | Victoria Anne Hodge Enquist | Social Worker | 241 Seymour Avenue, Griffin Hospital Iop, Seymour, CT 06418 | 2018-06-19 |
| 1811485758 | Nimeshayan Varatharajah | Student in an Organized Health Care Education/Training Program | Griffin Hospital, 130 Division St., Derby, CT 06418 | 2018-04-26 |
| 1851889836 | Pete Prashamsa Shenoy | Student in an Organized Health Care Education/Training Program | Griffin Hospital (dpt of Graduate Medical Education), 130 Division St., Derby, CT 06418 | 2018-04-25 |
| 1639696594 | Samantha Leigh Bassett | Counselor | 90 Sodom Lane, Derby, CT 06418 | 2017-08-23 |
| Find all providers in zip 06418 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356904411 | Luke Dopps Chiropractic LLC | Chiropractor | 620 N Baltimore Ave Ste B, Derby, KS 67037-1600 | 2019-04-15 |
| 1164917894 | Thomas Alcide Cloutier | Chiropractor | 1500 E Tall Tree Rd Apt 39104, Derby, KS 67037-6039 | 2018-06-26 |
| 1659873099 | Dakota Cole Hegi | Chiropractor | 1033 N Rock Rd Ste 200, Derby, KS 67037-3662 | 2018-03-01 |
| 1831439173 | Ross Boyd Rawlins | Chiropractor | 620 N Rock Rd, Ste 150, Derby, KS 67037-3681 | 2013-02-24 |
| 1225329915 | David Spadaro | Chiropractor | 111 New Haven Ave Ste 6, Derby, CT 06418-2197 | 2011-04-28 |
| 1174849202 | Ewert Chiropractic LLC | Chiropractor | 620 N Baltimore, Suite B, Derby, KS 67037-1600 | 2010-04-14 |
| 1174854293 | Jeremy Daniel Brady | Chiropractor | 205 W Crestway Ave, Suite 100, Derby, KS 67037-1850 | 2010-01-29 |
| 1053562553 | Jonathan L Streit | Chiropractor | 2307 N Rock Rd Ste 500, Derby, KS 67037 | 2008-10-02 |
| 1508016981 | Seasons of Life Chiropractic Clinic, P.a. | Chiropractor | 828 N Baltimore Ave, Derby, KS 67037-1865 | 2008-09-23 |
| 1336320647 | Joshua Lee Altwine | Chiropractor | 1001 N Buckner St, Derby, KS 67037-1824 | 2007-11-15 |
| Find all providers in DERBY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.