ADVANCED CHIROPRACTIC AND MEDICAL SERVICES (NPI# 1134297732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134297732 |
| Entity Type | Organization |
| Organization Name | ADVANCED CHIROPRACTIC AND MEDICAL SERVICES |
| Practice Address |
21 Woodland St Suite 110 Hartford CT 06105-4318 |
| Practice Telephone | 2038788803 |
| Practice Fax Number | 2038788803 |
| Mailing Telephone | 2038788803 |
| Mailing Fax Number | 2038788803 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | EDWARD J KUDEJ (OWNER) |
| Authorized Official Telephone | 2038788803 |
| Authorized Official Credential | D.C. R.P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 111N00000X | Chiropractor | Chiropractic Providers | ||
| X | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | ADVANCED CHIROPRACTIC AND MEDICAL SERVICES, LLC | 21 Woodland Street, Suite 110, Hartford, CT 06105 |
| Street Address |
21 WOODLAND ST SUITE 110 |
| City | HARTFORD |
| State | CT |
| Zip Code | 06105-4318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578536272 | Alan Fine | Obstetrics & Gynecology | 21 Woodland St, Suite 310, Hartford, CT 06105-4318 | 2006-02-12 |
| 1265798474 | Geetha P Bhumireddy | Internal Medicine | 21 Woodland St, Hartford, CT 06105-4318 | 2012-04-02 |
| 1073839007 | Hartford Fertility & Reproductive Endocrinology, LLC | Obstetrics & Gynecology | 21 Woodland St, Suite 323, Hartford, CT 06105-4318 | 2010-04-15 |
| 1770745242 | Ron Arbuckle Dds PC | Dentist | 21 Woodland St, Suite L-16, Hartford, CT 06105-4318 | 2008-06-26 |
| 1790987261 | Quest Diagnostics LLC | Clinical Medical Laboratory | 21 Woodland St, Hartford, CT 06105-4318 | 2007-06-05 |
| 1508085101 | William R. Maron Md PC | Ophthalmology | 21 Woodland St, Suite 222, Hartford, CT 06105-4318 | 2007-04-24 |
| 1033254602 | Norman Mendlinger Dds. P.C. Dba Hartford Dental Group | Dentist | 21 Woodland St, Suite L-16, Hartford, CT 06105-4318 | 2007-02-21 |
| 1083713986 | Barbara Koblenz | Obstetrics & Gynecology | 21 Woodland St, Ste 112, Hartford, CT 06105 | 2006-09-21 |
| 1821192543 | Syed S Hussain | Physical Therapist | 21 Woodland St, Suite 111, Hartford, CT 06105-4318 | 2006-09-12 |
| 1740209618 | Women's Health Care Associates, P.C. | Obstetrics & Gynecology | 21 Woodland St, Hartford, CT 06105-4318 | 2006-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275155939 | Pruthwy R Addanki | Student in an Organized Health Care Education/Training Program | Saint Francis Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2020-05-15 |
| 1700447802 | Samuel Flynn | Student in an Organized Health Care Education/Training Program | 1000 Asylum Avenue, Suite 3200, Hartford, CT 06105 | 2019-06-28 |
| 1730743568 | Turab J Mohammed | Student in an Organized Health Care Education/Training Program | Saint Francis Hospital Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2019-04-26 |
| 1164900387 | Breanne Ferrara | Social Worker | 43 Wooland St, Hartford, CT 06105 | 2018-07-31 |
| 1154814069 | Signature Smiles of Hartford LLC | Dentist | 550 Farmington Avenue, Suite B, Hartford, CT 06105 | 2018-06-14 |
| 1356839062 | Jaimy Villavicencio | Student in an Organized Health Care Education/Training Program | 100 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2018-04-27 |
| 1750885679 | Brittany Bird | Student in an Organized Health Care Education/Training Program | 839-841 Asylum Avenue, Hartford, CT 06105 | 2018-03-23 |
| 1972032241 | Ashley Nicole Mills | Student in an Organized Health Care Education/Training Program | 896 Asylum Ave, 3rd Floor, Hartford, CT 06105 | 2017-06-08 |
| 1528506847 | Samuel Agyei | Social Worker | 291 Collins St, Hartford, CT 06105 | 2017-02-07 |
| 1841735818 | Katie Strahowski | Nurse Practitioner | 85 Gillett Street, Clean Slate, Hartford, CT 06105 | 2016-12-30 |
| Find all providers in zip 06105 | ||||
| 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 |
|---|---|---|---|---|
| 1568927259 | David Rivera | Chiropractor | 239 Campfield Ave, Hartford, CT 06114-2412 | 2019-02-06 |
| 1033626114 | Chirosport Hartford, PC | Chiropractor | 700 N Vandemark Ave Ste 106, Hartford, SD 57033-2317 | 2018-01-10 |
| 1619320504 | Wilke Chiropractic LLC | Chiropractor | 45 Hilldale Dr Ste B, Hartford, WI 53027-2637 | 2016-07-15 |
| 1891063749 | Ashley Ingalls | Chiropractor | 304 W Hwy 38 #122, Hartford, SD 57033 | 2011-12-07 |
| 1174812234 | Toitanisha J. Witherspoon | Chiropractor | 175 Main St Fl 2, Hartford, CT 06106-1818 | 2011-03-29 |
| 1770880478 | John Nicholas Stefanopoulos | Chiropractor | 1041 Us Highway 231 N, Hartford, KY 42347-9592 | 2011-02-16 |
| 1346481249 | James Allan Wilke | Chiropractor | 45 Hilldale Dr, Ste B, Hartford, WI 53027-2637 | 2009-03-23 |
| 1487856019 | Highland Chiropractic Sc | Chiropractor | 1501 E Sumner St, Hartford, WI 53027-2608 | 2007-06-05 |
| 1235343096 | Nicole Bittner | Chiropractor | 1 Tower Sq # 4gs, Hartford, CT 06183-0001 | 2007-05-10 |
| 1962623421 | Daniel S Hersh | Chiropractor | 105 Hungerford Street, Hartford, CT 06106 | 2007-05-01 |
| Find all providers in HARTFORD | ||||
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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.