Organization Active NPI

Aquene Holistic Chiropractic Center, Inc

Doing business as Aqidneck Island Wellness Center

  • Chiropractor
  • Middletown, RI
National Provider Identifier
1073710596
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DCP00403 Issued in RI
Legal business name
AQUENE HOLISTIC CHIROPRACTIC CENTER, INC
Doing business as
Aqidneck Island Wellness Center
Practice address
333 Valley Rd
Middletown, RI 02842-7230
Phone
(401) 845-9283
NPI assigned
Jun 28, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kristine Dawn Thomas, D.O.
Title
Chiropractor
Phone
(401) 845-9283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DCP00403 RI Primary

Addresses

Primary practice location

333 Valley Rd
Middletown, RI 02842-7230

Mailing address

333 Valley Rd
Middletown, RI 02842-7230
Phone (401) 845-9283

Other identifiers 3

IdentifierTypeStateIssuer
CP 00408096OtherRIBC BLUE CHIP
9714511MedicaidMA
0000023204-001OtherRIBCBS

Other names 1

  • Aqidneck Island Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

333 Valley Rd
Middletown, RI 02842
Phone (401) 338-5174

2077 W Shore Rd
Warwick, RI 02889
Phone (401) 338-5174

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073710596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 VALLEY RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028427230",
            "telephone_number": "401-845-9283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 VALLEY RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028427230",
            "telephone_number": "401-845-9283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQUENE HOLISTIC CHIROPRACTIC CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "401-845-9283",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DCP00403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BLUE CHIP",
            "identifier": "CP 00408096",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9714511",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0000023204-001",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aqidneck Island Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middletown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.