Bristol Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DCP00617 Issued in RI

Legal business name

BRISTOL CHIROPRACTIC LLC

Practice address

685 Metacom Ave
Bristol, RI 02809-5131

Phone

(401) 396-9892

Fax

(401) 396-9897

NPI assigned

Oct 8, 2016

Last updated

Oct 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Camilla Moore, DC

Title

Member

Phone

(401) 396-9892

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1475884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475884800000",
    "number": "1083164537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 METACOM AVE",
            "city": "BRISTOL",
            "state": "RI",
            "postal_code": "028095131",
            "telephone_number": "401-396-9892",
            "fax_number": "401-396-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 METACOM AVE",
            "city": "BRISTOL",
            "state": "RI",
            "postal_code": "028095131",
            "telephone_number": "401-396-9892",
            "fax_number": "401-396-9897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOL CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-08",
        "last_updated": "2016-10-08",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "CAMILLA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "401-396-9892",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DCP00617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaelyn O'Reilly Bouchard, DPT
• Katharine Elizabeth Boynton, MS, LATC, CKTP
• Timothy Joseph Brassard, MS PT
• John L Braun, P.T.
• Bristol Assisted Living, LP (Franklin Court Assisted Living)
• Bristol County Eye Care LLC
• Bristol County Open MRI
• Bristol County Open MRI Services Inc.
• Bristol County Physical Therapy & Sports Rehabilitation LLC (Bristol County Physical Therapy, LLC)
• Bristol Neurology, Inc

• Chiropractor in Bristol, RI
• Providers in Bristol, RI by specialty
• Chiropractor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.