Patrick David Cullen, DC

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

DCP00700 Issued in RI

Practice address

1272 W Main Rd BLDG 2
Middletown, RI 02842-6405

Phone

(401) 849-7011

Fax

(401) 847-1449

NPI assigned

Feb 24, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aquidneck Chiropractic and Performance Rehabilitation

  • Chiropractor
  • Middletown, RI
  • NPI 1700613171
  NPD Authorized official
• Aquidneck Chiropractic

  • Chiropractor
  • Middletown, RI
  • NPI 1689842486
  NPD (past)

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1124774567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1272 W MAIN RD BLDG 2",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028426405",
            "telephone_number": "401-849-7011",
            "fax_number": "401-847-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1272 W MAIN RD BLDG 2",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028426405",
            "telephone_number": "401-849-7011",
            "fax_number": "401-847-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLEN",
        "first_name": "PATRICK",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "RI",
            "license": "DCP00700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Jane T Creely, MS, RN, PCNS
• Josephine M Cronin, LCDP
• Kelsey Cronin
• Kimberly Cross, MSW, LCSW
• Chelsea Culhane
• Marissa Cunetta, PA-C
• David Cunningham, MD
• Katia E. Custer, LCSW, MSW
• Karen J Cutting, RN
• Domenic Luigi D'Addio, DOCTOR OF ACUPUNCTUR

• Orthopedic Chiropractor in Middletown, RI
• Providers in Middletown, RI by specialty
• Orthopedic Chiropractor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.

Verify at the official NPI Registry.