SHORELINE CHIROPRACTIC CENTER, LLC
NPI 1003178179
Chiropractor in Madison, CT

Active since June 13, 2012
82 BRADLEY RD, MADISON, CT 06443(203) 245-2639 Get Directions Write a Review

NPPES record last updated: June 13, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shoreline Chiropractic Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHORELINE CHIROPRACTIC CENTER, LLC (NPI 1003178179) is a healthcare organization registered as a chiropractor in Madison, Connecticut and active in the NPI registry since June 2012. The organization lists John David Mastrobattisto, Owner/member, as its authorized official.

NPPES Registry Identity

NPI1003178179
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSHORELINE CHIROPRACTIC CENTER, LLC
Location Address82 BRADLEY RDMadison, CT 06443-2684
Mailing Address82 Bradley RdMadison, CT 06443-2684 · (203) 245-2639
Organization SubpartNo
Authorized OfficialJohn David MastrobattistoOwner/member · (203) 245-2639
Enumeration DateJune 13, 2012
NPI 1003178179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in CT · 1155
Definition
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.
82 BRADLEY RD, Madison, CT 06443

Other Identifiers 1

Medicare UPIN350000947CT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Naturopath
82 BRADLEY RD
MADISON, CT 06443

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shoreline Chiropractic Center, LLC's NPI number?

The NPI number for Shoreline Chiropractic Center, LLC is 1003178179. It was assigned to this organization in the NPPES registry on June 13, 2012.

Where is Shoreline Chiropractic Center, LLC located?

Shoreline Chiropractic Center, LLC is located at 82 Bradley Rd, Madison, CT 06443. The listed phone number is (203) 245-2639.

What is Shoreline Chiropractic Center, LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Shoreline Chiropractic Center, LLC was last updated on June 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.