Unknown Individual – Chiropractor, NPI 1457478356

Unknown Individual is a healthcare provider. based in Newington, Connecticut. specializing in Chiropractor. They hold a License No. 2632 (MA). The NPI Number for Unknown Individual is 1457478356

Main info

Organization
Inactive
25 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1457478356
Phone
(860) 436-2065
Address
123 LOWREY PL
Deactivation Date
31 January 2022

Doctor Profile

Medical School Name
LIFE CHIROPRACTIC COLLEGE - WEST
Secondary Phone
8604362065
Graduation Year
2001 (25 years ago)
PAC ID
5698719177
Group Practice PAC ID
6901953314
Professional Enrollment ID
I20090421000578
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 123 LOWREY PL

    NEWINGTON, CT 061113003

    Phone: (860) 436-2065

    Type: Mailing

  • 1420 Main St Ste 114

    Glastonbury, CT 060333110

    Phone: (860) 436-2065

    Fax: (860) 436-2066

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06111)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901953314View full group profile
NameSpecialtyState
-CT

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1457478356 — the number used across U.S. healthcare to identify this provider.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Chiropractor. Clinical services aligned with this taxonomy classification.
Where in Connecticut is Unknown Individual registered?
Use Newington, Connecticut as the headline location for Unknown Individual here.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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