Organization Active NPI

Manzolillo Chiropractic Center Inc.

  • Clinic/Center
  • Providence, RI
National Provider Identifier
1043491368
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
DC00321 Issued in RI
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

Updated by the provider on Jan 28, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
U9015OtherRIUPIN#

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.