Active NPI
Marzilli Chiropractic Center, LTD.
- Chiropractor
- Johnston, RI
National Provider Identifier
1114048634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DCP00391
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 405361 | Other | RI | BLUE CHIP |
| 31611-2 | Other | RI | BLUE CROSS BLUE SHIELD |
| 44-00485 | Other | RI | UNITED HEALTHCARE |
National Provider Directory
National Provider DirectoryLocations
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.