CENTRAL CONNECTICUT FOOTCARE CENTER, LLC
NPI 1679655443
Podiatrist - Foot Surgery in Meriden, CT

Q: What is Central Connecticut Footcare Center, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Active since October 20, 2006

807 BROAD ST., MERIDEN, CT 06450(203) 238-3668(203) 238-3670 Get Directions Write a Review

NPPES record last updated: August 23, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Central Connecticut Footcare Center, Llc NPPES

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

CENTRAL CONNECTICUT FOOTCARE CENTER, LLC (NPI 1679655443) is a healthcare organization registered as a foot surgery in Meriden, Connecticut and active in the NPI registry since October 2006. The organization lists Tina Anne Boucher, Owner, as its authorized official.

NPPES Registry Identity

NPI1679655443

Entity TypeOrganization

Primary Taxonomy213ES0131X

Legal Business NameCENTRAL CONNECTICUT FOOTCARE CENTER, LLC

Location Address807 BROAD ST.Meriden, CT 06450-3802

Mailing Address807 Broad StMeriden, CT 06450-4301 · (203) 238-3668 · Fax (203) 238-3670

Phone(203) 238-3668

Fax(203) 238-3670

Organization SubpartNo

Authorized OfficialTina Anne BoucherOwner · (203) 238-3668

Enumeration DateOctober 20, 2006

Last NPPES UpdateAugust 23, 2010

✔ NPI 1679655443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0131X

License✔ Licensed in CT · 000805

807 BROAD ST., Meriden, CT 06450

Open in Google Maps ↗

Other Identifiers 2

Medicare UPINV06988CT

Medicare NSC5939420001CT

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

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 Central Connecticut Footcare Center, LLC's NPI number?

The NPI number for Central Connecticut Footcare Center, LLC is 1679655443. It was assigned to this organization in the NPPES registry on October 20, 2006.

Where is Central Connecticut Footcare Center, LLC located?

Central Connecticut Footcare Center, LLC is located at 807 Broad St., Meriden, CT 06450. The listed phone number is (203) 238-3668.

What is Central Connecticut Footcare Center, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

When was this NPI record last updated?

The NPPES record for Central Connecticut Footcare Center, LLC was last updated on August 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.