CHIROMARK, LLC (NPI# 1518101328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518101328 |
| Entity Type | Organization |
| Organization Name | CHIROMARK, LLC |
| Other Organization Name | CHIROMARK OF GLASTONBURY |
| Practice Address |
10 Commerce St Ste B Glastonbury CT 06033-4802 |
| Practice Telephone | 8604309116 |
| Practice Fax Number | 8604309108 |
| Mailing Telephone | 8604309116 |
| Mailing Fax Number | 8604309108 |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2014-10-14 |
| Authorized Official Name | DR. CHRISTIAN CHARLES REILLY (CO-OWNER) |
| Authorized Official Telephone | 8604309116 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CT01479 | CT | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004258332 | 05 |
| Other Name | Type Code |
|---|---|
| Chiromark of Glastonbury | Doing Business As Name - Organization |
| Street Address |
10 COMMERCE ST STE B |
| City | GLASTONBURY |
| State | CT |
| Zip Code | 06033-4802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477074649 | Starling Physicians, PC | Durable Medical Equipment & Medical Supplies | 289 Western Blvd, Glastonbury, CT 06033 | 2017-06-28 |
| 1497284897 | D&l Eyecare | Optometrist | 33 Welles Street, Glastonbury, CT 06033 | 2017-06-08 |
| 1730626235 | Half Full Psychiatry LLC | Clinic/Center | 39 New London Tpke Ste 230f, Glastonbury, CT 06033 | 2017-01-23 |
| 1285000117 | Olga A Levkina | Physician Assistant | 2928 Main St Ste 101, Glastonbury, CT 06033 | 2015-08-14 |
| 1619350576 | Ryan Ilg Reichelt | Dentist | 131 New London Tpke Ste 211, Glastonbury, CT 06033 | 2015-07-09 |
| 1316320534 | Devon Banda | Orthopaedic Surgery | The Hand Center, 195 Eastern Blvd, # 200, Glastonbury, CT 06033 | 2015-07-07 |
| 1881073195 | Brittney Stanley | Counselor | 122 Naubuc Ave Ste 104, Glastonbury, CT 06033 | 2015-05-20 |
| 1780071878 | Richard T. Risinger | Dentist | 88 Citizens Drive, Glastonbury, CT 06033 | 2015-04-16 |
| 1639568751 | Carol Jane Gammell | Counselor | 140 Glastonbury Boulevard, Suite 30, Glastonbury, CT 06033 | 2015-01-13 |
| 1407262611 | Prashant Sinha | Dentist | 2874 Main Street, Glastonbury, CT 06033 | 2014-07-08 |
| Find all providers in zip 06033 | ||||
| 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 |
|---|---|---|---|---|
| 1720481542 | Damato Chiropractic Center of Glastonbury, LLC | Chiropractor | 730 Hebron Ave, Suite 4, Glastonbury, CT 06033-5016 | 2014-10-07 |
| 1942528450 | Nicholas J Damato | Chiropractor | 730 Hebron Avenue, Suite 4, Glastonbury, CT 06033 | 2010-05-07 |
| 1801036496 | Chiropractic Health Center of Glastonbury, LLC | Chiropractor | 2934 Main St, Suite 1, Glastonbury, CT 06033-1027 | 2009-02-23 |
| 1811150154 | Kevin P. Thibodeaux | Chiropractor | 414 Eastbury Hill Rd, Glastonbury, CT 06033-3900 | 2008-07-08 |
| 1174657357 | Christian Charles Reilly | Chiropractor | 10 Commerce St, Suite B, Glastonbury, CT 06033-2313 | 2007-03-16 |
| 1013086354 | Gregg S Mckinney | Chiropractor | 34 Concord St, Glastonbury, CT 06033-2112 | 2006-11-08 |
| 1962587584 | George Philip Paul | Chiropractor | 78 Eastern Bouldevard, Suite 9, Glastonbury, CT 06033-2246 | 2006-10-25 |
| 1225124746 | Patrick Joseph Defrancesco | Chiropractor | 2934 Main Street, Glastonbury, CT 06033 | 2006-10-04 |
| 1437259645 | Timothy Allen Sweigard | Chiropractor | 2934 Main St, Glastonbury, CT 06033-1027 | 2006-09-25 |
| 1760495733 | Navjot Gill | Chiropractor | 30 Hebron Ave, #c Derr Plaza, Glastonbury, CT 06033-4211 | 2006-08-14 |
| Find all providers in GLASTONBURY | ||||
| City | GLASTONBURY |
| Zip Code | 06033 |
Please comment or provide details below to improve the information on CHIROMARK, LLC.
| 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.