NPIMap

Organization Active NPI

University Chiropractic

  • Chiropractor
  • Providence, RI
National Provider Identifier
1114152865
Registry record updated May 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DCP00481 Issued in RI
Legal business name
UNIVERSITY CHIROPRACTIC
Practice address
45 Eagle St
Providence, RI 02909-1082
Phone
(401) 272-1120
Fax
(401) 272-1148
NPI assigned
May 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2009

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

Authorized official

Name
Dr. Michael Antonio Pensa, D.C.NPI 1710042742
Title
President
Phone
(401) 272-1120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DCP00481 RI Primary

Addresses

Primary practice location

45 Eagle St
Providence, RI 02909-1082

Mailing address

45 Eagle St
Providence, RI 02909-1082
Phone (401) 272-1120

National Provider Directory

National Provider Directory

Locations

45 Eagle St
Ste 100
Providence, RI 02909
Phone (401) 272-1120

45 Eagle St
Providence, RI 02909
Phone (401) 272-1120

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243296000000",
    "number": "1114152865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 EAGLE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029091082",
            "telephone_number": "401-272-1120",
            "fax_number": "401-272-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 EAGLE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029091082",
            "telephone_number": "401-272-1120",
            "fax_number": "401-272-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-26",
        "last_updated": "2009-05-26",
        "status": "A",
        "authorized_official_last_name": "PENSA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-272-1120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DCP00481",
            "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 May 26, 2009; 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.