Kapedjanie Bois, D.C
Individual provider Active NPI Chiropractor · Providence, RI
NPI 1003049883 · NPPES record last updated Apr 11, 2024
Key facts
- NPI
- 1003049883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DCP00585 (RI)
- Practice address
- 154 Waterman St
Ste 1B
Providence, RI 02906-3116 - Phone
- (401) 415-9585
- Fax
- (401) 415-9586
- NPI assigned
- Aug 27, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
154 Waterman St
Suite 1B
Providence, RI 02906-3116
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111214000885 | RI | Practitioner - Chiropractic | 6608041959 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DCP00585 | RI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brace Medical Supply | Current | Accepting new patients | |
| Royal Health & Wellness LLC | Current | Accepting new patients |
Locations
154 Waterman St
Ste 1B
Providence, RI 02906
Phone (401) 415-9585
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DCP00585 | RI | Yes |
Addresses
Primary practice location
154 Waterman St
Ste 1B
Providence, RI 02906-3116
Mailing address
154 Waterman St
Ste 1B
Providence, RI 02906-3116
Phone (401) 415-9585
Other providers in Providence, RI
- Noah Bogdonoff
- Nicole Boggio
- Anne Katherine Bohle
- Jamie Lyn Boiani
- Tatyana Marie Boiano
- Sean Boisvert
- Lori B Boivin
- Areta L Bojko
- Steven Bokshan
- Jose Bolanos
All providers in Providence, RI · Chiropractor in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.