Active NPI
Ronald E Clary Jr., D.C.
- Chiropractor
- Providence, RI
National Provider Identifier
1093842684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DCP00546
- Practice address
- 154 Waterman St Ste 1B
Providence, RI 02906-3116 - Phone
- (401) 415-9585
- Fax
- (401) 415-9586
- NPI assigned
- Feb 28, 2007
- Last updated
- Feb 16, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DCP00546 | RI | Primary |
Addresses
Primary practice location
154 Waterman St Ste 1B
Providence, RI 02906-3116
Mailing address
154 Waterman St Ste 1B
Providence, RI 02906-3116
Phone (401) 415-9585
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3134 | MA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doherty Chiropractic | Chiropractor | Past | Accepting new patients |
| Khoury Chiropractic, Inc. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 3
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.
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- Sports Physician Chiropractor
- Dedham, MA
- NPI 1285834879
-
dba The Khoury Centre for Health & Wellness
- Chiropractor
- Dedham, MA
- NPI 1649280009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676505600000",
"number": "1093842684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "154 WATERMAN ST STE 1B",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029063116",
"telephone_number": "401-415-9585",
"fax_number": "401-415-9586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "154 WATERMAN ST STE 1B",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029063116",
"telephone_number": "401-415-9585",
"fax_number": "401-415-9586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARY",
"first_name": "RONALD",
"middle_name": "E",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2023-02-16",
"certification_date": "2023-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "RI",
"license": "DCP00546",
"primary": true
}
],
"identifiers": [],
"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 Feb 16, 2023; 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.