Justin Belanger, DC
Individual provider Active NPI Chiropractor · Central Falls, RI
NPI 1003393901 · NPPES record last updated Jul 24, 2018
Key facts
- NPI
- 1003393901
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DCP00666 (RI)
- Practice address
- 1084 Broad St
Central Falls, RI 02863-1516 - Phone
- (401) 365-1212
- Fax
- (401) 365-1214
- NPI assigned
- Jul 24, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
24 Salt Pond Rd
Suite C5
Wakefield, RI 02879-4320
Phone (401) 789-5008
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180828002466 | RI | Practitioner - Chiropractic | 1456600238 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DCP00666 | RI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Decrescenzo Chiropractic, Inc. | Chiropractor | Current |
Accepting new patients |
| Belanger Chiropractic LLC | Chiropractor | Current |
Accepting new patients |
Locations
160 Taunton Ave
East Providence, RI 02914
Phone (401) 270-8865
24 Salt Pond Rd
Ste C5
Wakefield, RI 02879
Phone (401) 789-5008
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DCP00666 | RI | Yes |
Addresses
Primary practice location
1084 Broad St
Central Falls, RI 02863-1516
Mailing address
160 Taunton Ave
East Providence, RI 02914-4531
Phone (401) 270-8865
Other providers in Central Falls, RI
- Erika Jacqueline Anglon-Oliver
- Arlene J Atkins
- Angel Barraza
- Roberto Barrios
- Christine F Barton
- Kristyn Benedetti
- Jacques Bertheau Jr.
- Blackstone Dental,PC
- Blackstone Valley Assisted Living Enterprise Inc.
- Blackstone Valley Community Health Care, Inc.
All providers in Central Falls, 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 Jul 24, 2018. 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.