DR. ALEXANDRA LEE FANDETTI (NPI# 1700115466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700115466 |
Entity Type | Individual |
Full Name | DR. ALEXANDRA LEE FANDETTI |
Credential | D.C. |
Practice Address |
24 Putnam Pike Unit 3 Dayville CT 06241-1608 |
Practice Telephone | 8604129016 |
Mailing Telephone | 8604129016 |
Enumeration Date | 2009-12-09 |
Last Update Date | 2013-01-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 1905 | CT | Chiropractic Providers |
N | 111N00000X | Chiropractor | DCP00588 | RI | Chiropractic Providers |
Street Address |
24 PUTNAM PIKE UNIT 3 |
City | DAYVILLE |
State | CT |
Zip Code | 06241-1608 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033378435 | David Marc Caron | Dentist | 24 Putnam Pike, Dayville, CT 06241 | 2008-06-02 |
1639734494 | Doris Baclija | Dentist | 24 Putnam Pike, Dayville, CT 06241-1646 | 2019-05-07 |
1598248668 | Mena Johny | Dentist | 24 Putnam Pike, Dayville, CT 06241-1646 | 2018-09-13 |
1184177099 | Laura Corrigan | Massage Therapist | 24 Putnam Pike, Unit 3, Dayville, CT 06241-1646 | 2016-07-27 |
1760832919 | Sarah Arpin | Chiropractor | 24 Putnam Pike, Unit 3, Dayville, CT 06241-1646 | 2016-06-20 |
1902267669 | Brittany Burnett | Massage Therapist | 24 Putnam Pike, Unit 3, Dayville, CT 06241-1646 | 2016-03-09 |
1801275003 | Kirsten Large | Massage Therapist | 24 Putnam Pike, Unit 3, Dayville, CT 06241-1608 | 2015-05-21 |
1740675081 | Simply Orthodontics PC | Dentist | 24 Putnam Pike, Dayville, CT 06241-1608 | 2015-04-03 |
1225420144 | Keli Lemoi | Massage Therapist | 24 Putnam Pike, Unit 3, Dayville, CT 06241-1608 | 2015-03-02 |
1477991727 | Alicia Voukides | Dentist | 24 Putnam Pike, Dayville, CT 06241-1608 | 2013-06-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376007419 | Green Valley Optical, LLC | Technician/Technologist | 21 Putnam Pike, Dayville, CT 06241 | 2019-01-23 |
1962656397 | Kimbal Coventry Sheffield | Dentist | 1040 N. Main Street, Kimbal Sheffield, D.d.s., L.L.C., Dayville, CT 06241 | 2008-11-12 |
1447353156 | Kimbal Sheffield Dds and David Caron Dmd LLC | Dentist | 1040 N Main Street, Dayville, CT 06241 | 2006-09-07 |
1811906837 | Kerry Lee Methot | Massage Therapist | 545 Hartford Turnpike, Dayville, CT 06241 | 2006-08-07 |
1356366538 | Celeste R. Chartier | Counselor | 1007 North Main St., Dayville, CT 06241 | 2006-07-12 |
1437183175 | James Alan Garland | Social Worker | 1007 North Main Street, Dayville, CT 06241 | 2006-07-10 |
1376575241 | Stop and Shop Supermarket Co LLC | Durable Medical Equipment & Medical Supplies | 1094 Killingly Commons Dr, Dayville, CT 06241 | 2006-07-07 |
1801367495 | Samer Ashour | Nurse Practitioner | 1007 N Main St, Dayville, CT 06241 | 2018-12-08 |
1841760402 | Melissa Souza | Physical Therapist | 150 Ware Rd., Dayville, CT 06241 | 2018-11-27 |
1518458637 | Luke Dery | Counselor | 1007 N Main St, Dayville, CT 06241 | 2018-05-24 |
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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 |
---|---|---|---|---|
1760832919 | Sarah Arpin | Chiropractor | 24 Putnam Pike, Unit 3, Dayville, CT 06241-1646 | 2016-06-20 |
1699046474 | Back & Body Chiropractic LLC | Chiropractor | 24 Putnam Pike, Unit 3, Dayville, CT 06241-1608 | 2012-01-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528695830 | Michael J Solla | Chiropractor | 1901 Cypress Dr, Danbury, CT 06811-2684 | 2020-03-25 |
1477184760 | Alexis Kantor | Chiropractor | 45 Harbor Dr, Stamford, CT 06902-7405 | 2020-01-27 |
1194365239 | Jacob Riley Calder | Chiropractor | 71 Bradley Rd Unit 5, Madison, CT 06443-2662 | 2020-01-07 |
1508404286 | Kevin Lennehan | Chiropractor | 300 Alumni Rd, Newington, CT 06111-1868 | 2019-12-13 |
1114565033 | David Craig Waltzer | Chiropractor | 132 Federal Rd Ste 103, Danbury, CT 06811-4099 | 2019-12-11 |
1700434800 | Nadine Weingarten | Chiropractor | 399 Cascade Rd, Stamford, CT 06903-3029 | 2019-09-01 |
1356996250 | Astrid Aime Baldrich-sanchez | Chiropractor | 22 Pine St Ste 216, Bristol, CT 06010-6950 | 2019-08-07 |
1275187833 | Kena Aiden Mcdermott | Chiropractor | 1216 Farmington Ave Ste 304, West Hartford, CT 06107-2673 | 2019-07-31 |
1821640368 | R Mark Pappas, LLC | Chiropractor | 502 Main Street, West Haven, CT 06516-7307 | 2019-07-15 |
1740832963 | Tyler Van Steenbergen | Chiropractor | 9 Sharon Rd, Lakeville, CT 06039-2107 | 2019-07-09 |
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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.