PROVIDENCE CHIROPRACTIC CLINIC INC (NPI# 1043376684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043376684 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE CHIROPRACTIC CLINIC INC |
| Practice Address |
1637 Mineral Spring Avenue Suite 201 North Providence RI 02904 |
| Practice Telephone | 4013545120 |
| Practice Fax Number | 4013545122 |
| Mailing Telephone | 4013545120 |
| Mailing Fax Number | 4013545122 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2010-10-29 |
| Authorized Official Name | DR. MICHAEL ANTHONY LANCELLOTTI (DOCTOR OF CHIROPRACTIC) |
| Authorized Official Telephone | 4013545120 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DCP00243 | RI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | BLUE CHIP | 400742 | 01 |
| CIGNA | 720028401 | 01 | |
| UNITED | 4400421 | 01 | |
| RI | BC BS RI | 0000003521 | 01 |
| Street Address |
1637 MINERAL SPRING AVENUE SUITE 201 |
| City | NORTH PROVIDENCE |
| State | RI |
| Zip Code | 02904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144792383 | Lifespan Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 180 Corliss Street, Suite A, Providence, RI 02904 | 2018-12-28 |
| 1780168229 | Beth M. Kalunian | Social Worker | 480 Charles Street, Providence, RI 02904 | 2018-09-20 |
| 1588161608 | Michael P. Johnson, Md, Inc | Internal Medicine | 148 W River St Ste 22b, Providence, RI 02904 | 2018-04-06 |
| 1780045948 | Fred Saccoccio | Pharmacist | 15 Smithfield Road, No Providence, RI 02904 | 2016-03-16 |
| 1699148999 | Latin Adult Day Health Care Center | Clinic/Center | 665 Charles Street, Providence, RI 02904 | 2015-11-09 |
| 1144639956 | Dina P Toolin | Occupational Therapist | 195 Collyer St. 3rd Floor, University Medical Center/miriam Hospital Outpatient, Providence, RI 02904 | 2014-08-06 |
| 1801208798 | Seth Clark | Internal Medicine | 200 Corliss St, Providence, RI 02904 | 2014-05-27 |
| 1134554645 | Molly Elizabeth Smith | Physical Therapist | 1405 Douglas Ave, North Providence, RI 02904 | 2013-09-04 |
| 1336408723 | Emad Awa | Pediatrics | 1 Randall Sq Ste 404, Providence, RI 02904 | 2012-05-07 |
| 1598036790 | Joseph F. Osmanski, Od, Inc | Optometrist | 1971 Mineral Spring Avenue, N. Providence, RI 02904 | 2012-01-19 |
| Find all providers in zip 02904 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669085023 | Lauren T Gallucci | Chiropractor | 1337 Smith St, North Providence, RI 02908-1823 | 2020-08-26 |
| 1386254829 | Ian Giuttari | Chiropractor | 1920 Mineral Spring Ave Ste 16and17, North Providence, RI 02904-3742 | 2020-08-07 |
| 1235362294 | Capaldi Chiropractic | Chiropractor | 61 Hunters Run, North Providence, RI 02904-3052 | 2009-08-25 |
| 1407003304 | Mariel K Phillip | Chiropractor | 1243 Mineral Spring Ave 201, North Providence, RI 02904-4636 | 2008-08-21 |
| 1043373566 | Edward T Gallucci | Chiropractor | 1337 Smith Street, North Providence, RI 02908 | 2006-12-18 |
| 1154432870 | Michael G Leroux | Chiropractor | 1920 Mineral Spring Ave Unit 16, North Providence, RI 02904-3742 | 2006-08-31 |
| 1316319437 | Erika Bruno | Chiropractor | 1822 Mineral Spring Ave, Bruno Chiropractic, North Providence, RI 02904 | 2015-10-28 |
| 1013245356 | Ocean State Chiropractic and Sports Rehabilitation Inc | Chiropractor | 1920 Mineral Spring Ave Unit 16, North Providence, RI 02904-3742 | 2009-11-25 |
| 1043496870 | Holly T Norton | Chiropractor | 1243 Mineral Spring Ave, Suite 214, North Providence, RI 02904-4636 | 2008-01-10 |
| 1427040336 | Michael Anthony Lancellotti | Chiropractor | 1637 Mineral Spring Ave, Suite 201, North Providence, RI 02904-4042 | 2005-08-17 |
| Find all providers in NORTH PROVIDENCE | ||||
| City | NORTH PROVIDENCE |
| Zip Code | 02904 |
Please comment or provide details below to improve the information on PROVIDENCE CHIROPRACTIC CLINIC INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.