Active NPI
Manzolillo Chiropractic Center Inc.
- Clinic/Center
- Providence, RI
National Provider Identifier
1043491368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- DC00321
- Legal business name
- MANZOLILLO CHIROPRACTIC CENTER INC.
- Practice address
- 280 Broadway
Providence, RI 02903-3007 - Phone
- (401) 273-0046
- Fax
- (401) 273-4100
- NPI assigned
- Nov 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Louis Manzolillo, DC
- Title
- Owner
- Phone
- 40127330046
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | DC00321 | RI | Primary |
Addresses
Primary practice location
280 Broadway
Providence, RI 02903-3007
Mailing address
280 Broadway
Providence, RI 02903-3007
Phone (401) 273-0046
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U9015 | Other | RI | UPIN# |
National Provider Directory
National Provider DirectoryLocations
280 Broadway
Providence, RI 02903
Phone (401) 273-0046
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Seekonk, MA
- NPI 1619028560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453939200000",
"number": "1043491368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 BROADWAY",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029033007",
"telephone_number": "401-273-0046",
"fax_number": "401-273-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 BROADWAY",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029033007",
"telephone_number": "401-273-0046",
"fax_number": "401-273-4100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANZOLILLO CHIROPRACTIC CENTER INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-15",
"last_updated": "2016-01-28",
"status": "A",
"authorized_official_last_name": "MANZOLILLO",
"authorized_official_first_name": "LOUIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "40127330046",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "RI",
"license": "DC00321",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN#",
"identifier": "U9015",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.