Organization Active NPI

Marzilli Chiropractic Center, LTD.

  • Chiropractor
  • Johnston, RI
National Provider Identifier
1114048634
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DCP00391 Issued in RI
Legal business name
MARZILLI CHIROPRACTIC CENTER, LTD.
Practice address
1395 Atwood Ave
Suite 108a
Johnston, RI 02919-4929
Phone
(401) 270-9595
Fax
(401) 383-5155
NPI assigned
Apr 2, 2007
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
Robert B Marzilli Jr., DC
Title
President
Phone
(401) 270-9595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DCP00391 RI Primary

Addresses

Primary practice location

1395 Atwood Ave
Suite 108a
Johnston, RI 02919-4929

Mailing address

1395 Atwood Ave
Suite 108a
Johnston, RI 02919-4929
Phone (401) 270-9595

Other identifiers 3

IdentifierTypeStateIssuer
405361OtherRIBLUE CHIP
31611-2OtherRIBLUE CROSS BLUE SHIELD
44-00485OtherRIUNITED HEALTHCARE

National Provider Directory

National Provider Directory

Locations

1395 Atwood Ave
Ste 108A
Johnston, RI 02919
Phone (401) 270-9595

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114048634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 ATWOOD AVE",
            "address_2": "SUITE 108A",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029194929",
            "telephone_number": "401-270-9595",
            "fax_number": "401-383-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 ATWOOD AVE",
            "address_2": "SUITE 108A",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029194929",
            "telephone_number": "401-270-9595",
            "fax_number": "401-383-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARZILLI CHIROPRACTIC CENTER, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARZILLI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-270-9595",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DCP00391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "405361",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "31611-2",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "44-00485",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, 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.