OrganizationActive
Southport Chiropractic Office, P.C.
NPI 1780884973 · Nutrition Chiropractor · Fairfield, CT
Southport Chiropractic Office, P.C. is a Nutrition Chiropractor organization in Fairfield, CT (NPI 1780884973).
Provider details
- NPI number
- 1780884973
- Entity type
- Organization
- Primary specialty
- Nutrition ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Nicholas S. Bogannam Bogannam, President(203) 259-4731
Specialties & taxonomies
Chiropractic Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1995 Post Rd
Fairfield, CT 06824-5723
Phone: (203) 259-4731
Fax: (203) 259-7319
Street-level locationGet directions
Mailing address
1995 Post Rd
Fairfield, CT 06824-5723
Registry dates
- Enumerated
- 2007-07-25
- Last updated
- 2010-11-10
Frequently asked questions
- What is Southport Chiropractic Office, P.C.'s NPI number?
- Southport Chiropractic Office, P.C.'s National Provider Identifier (NPI) is 1780884973, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southport Chiropractic Office, P.C.?
- Southport Chiropractic Office, P.C. is classified in the NPPES registry as Nutrition Chiropractor (Chiropractic Providers).
- Where is Southport Chiropractic Office, P.C. located?
- Southport Chiropractic Office, P.C.'s practice location on file with NPPES is 1995 Post Rd, Fairfield, CT 06824-5723.
- What is Southport Chiropractic Office, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Southport Chiropractic Office, P.C. is (203) 259-4731.
- Who is the authorized official for Southport Chiropractic Office, P.C.?
- The authorized official listed on Southport Chiropractic Office, P.C.'s NPPES record is Nicholas S. Bogannam Bogannam, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southport Chiropractic Office, P.C.'s NPI active?
- Yes — Southport Chiropractic Office, P.C.'s NPI (1780884973) is active in the NPPES registry as of the last update on 2010-11-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.