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

NPI Status: Active since October 20, 2006

Contact Information

807 BROAD ST.
MERIDEN, CT
ZIP 06450
Phone: (203) 238-3668
Fax: (203) 238-3670

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  • Organization
  • Podiatrist
  • Foot Surgery

About CENTRAL CONNECTICUT FOOTCARE CENTER, LLC

This page provides the complete NPI Profile along with additional information for Central Connecticut Footcare Center, Llc, a provider established in Meriden, Connecticut operating as a Podiatrist, focusing in foot surgery . The healthcare provider is registered in the NPI registry with number 1679655443 assigned on October 2006. The practitioner's primary taxonomy code is 213ES0131X with license number 000805 (CT). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Tina Anne Boucher Dpm (Owner)

NPI
1679655443
Provider Name
CENTRAL CONNECTICUT FOOTCARE CENTER, LLC
Entity Type
Organization
Location Address
807 BROAD ST. MERIDEN, CT 06450
Location Phone
(203) 238-3668
Location Fax
(203) 238-3670
Mailing Address
807 BROAD ST MERIDEN, CT 06450
Mailing Phone
(203) 238-3668
Mailing Fax
(203) 238-3670
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-20-2006
Last Update Date
08-23-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Podiatrist Foot Surgery

Taxonomy Code
213ES0131X
Type
Podiatric Medicine & Surgery Service Providers
License No.
000805
License State
CT

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. TINA ANNE BOUCHER DPM

Authorized Official Title
OWNER
Authorized Official Phone
(203) 238-3668

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
V06988MEDICARE UPIN (02)CT 
5939420001MEDICARE NSC (07)CT 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1679655443
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261491251048
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 4 + 9 + 1 + 2 + 5 + 1 + 0 + 4 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1679655443 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679655443, enumerated in the NPI registry as an "organization" on October 20, 2006

The provider is located at 807 Broad St. Meriden, Ct 06450 and the phone number is (203) 238-3668

This medical organization specializes in Podiatrist with taxonomy code 213ES0131X with a focus in Foot Surgery

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 20, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.