Organization Active NPI

Seaside Family Chiropractic, LLC

  • Chiropractor
  • Barrington, RI
National Provider Identifier
1073763611
Registry record updated Sep 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DCP00574 Issued in RI
Legal business name
SEASIDE FAMILY CHIROPRACTIC, LLC
Practice address
146 Anoka Ave
Barrington, RI 02806-3428
Phone
(401) 289-0155
NPI assigned
Sep 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2008

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

Authorized official

Name
Dr. Wesley Eugene Stubbs, D.C.NPI 1720149230
Title
Owner
Phone
(401) 289-0155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DCP00574 RI Primary

Addresses

Primary practice location

146 Anoka Ave
Barrington, RI 02806-3428

Mailing address

146 Anoka Ave
Barrington, RI 02806-3428
Phone (401) 289-0155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081217000395 RI Part B Supplier - Clinic/Group Practice 2961564463 Receives reassigned benefits from 2 practitioners
Practice locations: Barrington, RI
O20191011000414 MA Part B Supplier - Clinic/Group Practice 2961564463 Receives reassigned benefits from 2 practitioners
Practice locations: Fairhaven, MA

National Provider Directory

National Provider Directory

Locations

47 Alden Rd
Ste A
Fairhaven, MA 02719
Phone (774) 770-4147

146 Anoka Ave
Barrington, RI 02806
Phone (401) 289-0155

Practitioners & affiliated clinicians

Practitioners 5

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": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221782400000",
    "number": "1073763611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 ANOKA AVE",
            "city": "BARRINGTON",
            "state": "RI",
            "postal_code": "028063428",
            "telephone_number": "401-289-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 ANOKA AVE",
            "city": "BARRINGTON",
            "state": "RI",
            "postal_code": "028063428",
            "telephone_number": "401-289-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2008-09-19",
        "status": "A",
        "authorized_official_last_name": "STUBBS",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-289-0155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DCP00574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barrington, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.