NPIMap

Organization Active NPI

Martin L. Roussel, D.C. Dba East Bay Chiropractic Health Center

  • Chiropractor
  • Bristol, RI
National Provider Identifier
1093917494
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DCP00188 Issued in RI
Legal business name
MARTIN L. ROUSSEL, D.C. DBA EAST BAY CHIROPRACTIC HEALTH CENTER
Practice address
970 Hope St
Bristol, RI 02809-5210
Phone
(401) 253-7475
Fax
(401) 253-8927
NPI assigned
Jun 5, 2007
Last updated
Oct 25, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Authorized official

Name
Dr. Martin L. Roussel, D.C.NPI 1710961420
Title
Owner Chiropractor
Phone
(401) 253-7475

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DCP00188 RI Primary

Addresses

Primary practice location

970 Hope St
Bristol, RI 02809-5210

Mailing address

970 Hope St
Bristol, RI 02809-5210
Phone (401) 253-7475

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1093917494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 HOPE ST",
            "city": "BRISTOL",
            "state": "RI",
            "postal_code": "028095210",
            "telephone_number": "401-253-7475",
            "fax_number": "401-253-8927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 HOPE ST",
            "city": "BRISTOL",
            "state": "RI",
            "postal_code": "028095210",
            "telephone_number": "401-253-7475",
            "fax_number": "401-253-8927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN L. ROUSSEL, D.C. DBA EAST BAY CHIROPRACTIC HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "ROUSSEL",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER  CHIROPRACTOR",
        "authorized_official_telephone_number": "401-253-7475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DCP00188",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 25, 2007; 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.