Active NPI
Edward T Gallucci, DC
- Chiropractor
- North Providence, RI
National Provider Identifier
1043373566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 317
- Practice address
- 1337 Smith Street
North Providence, RI 02908 - Phone
- (401) 831-0900
- Fax
- (401) 272-3157
- NPI assigned
- Dec 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 317 | RI | Primary |
Addresses
Primary practice location
1337 Smith Street
North Providence, RI 02908
Mailing address
1337 Smith Street
North Providence, RI 02908
Phone (401) 831-0900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120711000245 | RI | Practitioner - Chiropractic | 0941465264 | Practice locations: North Providence, RI |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1337 Smith St
North Providence, RI 02908-1823
Phone (401) 831-0900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 317 | RI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043373566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1337 SMITH STREET",
"city": "NORTH PROVIDENCE",
"state": "RI",
"postal_code": "02908",
"telephone_number": "401-831-0900",
"fax_number": "401-272-3157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1337 SMITH STREET",
"city": "NORTH PROVIDENCE",
"state": "RI",
"postal_code": "02908",
"telephone_number": "401-831-0900",
"fax_number": "401-272-3157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLUCCI",
"first_name": "EDWARD",
"middle_name": "T",
"name_prefix": "Mr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "RI",
"license": "317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.