Individual provider Active NPI

Mark V Alano, DC

  • Chiropractor
  • Bristol, RI
National Provider Identifier
1063503472
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC00324 Issued in RI
Practice address
576 Metacom Ave
Unit 8
Bristol, RI 02809-5100
Phone
(401) 253-1130
Fax
(401) 253-8320
NPI assigned
Sep 28, 2006
Last updated
Aug 24, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC00324 RI Primary

Addresses

Primary practice location

576 Metacom Ave
Unit 8
Bristol, RI 02809-5100

Mailing address

576 Metacom Ave
Unit 8
Bristol, RI 02809-5100
Phone (401) 253-1130

Other identifiers 2

IdentifierTypeStateIssuer
204330OtherRIBLUE CHIP
3113-4OtherRIBLUE CROSS & BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110816000009 RI Practitioner - Chiropractic 1153590765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metacom Chiropractic Centre, IncGroup PAC ID 9335318948, 2 clinicians

Practice addresses (Care Compare)

576 Metacom Ave Unit
8 Coastal Chiropractic Group
Bristol, RI 02809-5100
Phone (401) 253-1130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC00324RIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Metacom Chiropractic Centre, Inc Chiropractor CurrentSince Aug 15, 2003 Accepting new patients
Coastal Physical Therapy & Balance Center Inc PastSince Sep 26, 2024 Accepting new patients

Locations

576 Metacom Ave
Unit 8
Bristol, RI 02809
Phone (401) 253-1130

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1063503472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 METACOM AVE",
            "address_2": "UNIT 8",
            "city": "BRISTOL",
            "state": "RI",
            "postal_code": "028095100",
            "telephone_number": "401-253-1130",
            "fax_number": "401-253-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 METACOM AVE",
            "address_2": "UNIT 8",
            "city": "BRISTOL",
            "state": "RI",
            "postal_code": "028095100",
            "telephone_number": "401-253-1130",
            "fax_number": "401-253-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALANO",
        "first_name": "MARK",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DC00324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "204330",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "3113-4",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.

Verify at the official NPI Registry.