Southport Chiropractic Office, P.C.
NPI 1780884973ActiveOrganization· Chiropractor, Nutrition· Fairfield, CT
Chiropractor, Nutrition in Fairfield, Connecticut, registered in NPPES in July 2007. The authorized official on file is Nicholas S. Bogannam S. Bogannam, DC, President.
Overview
| NPI | 1780884973 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 25, 2007 |
| Last updated in NPPES | Nov 10, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor, Nutrition Primary | 111NN1001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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