OrganizationActive
Interstate Chiropractic Shaw Robert N & E M Wagner Ptrs
NPI 1295912723 · Chiropractor · Milldale, CT
Provider details
- NPI number
- 1295912723
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Robert Shaw, Owner(860) 621-1919
- License
- CT01066 (CT)
Specialties & taxonomies
Chiropractic Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1783 Meriden Waterbury Turnpike
Milldale, CT 06467-0475
Phone: (860) 621-1919
Approximate (ZIP-level) locationGet directions
Mailing address
1783 Meriden Waterbury Tpke
Milldale, CT 06467-0475
Registry dates
- Enumerated
- 2008-01-28
- Last updated
- 2008-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.