Organization Active NPI

Northeast Chiropractic

  • Chiropractor
  • Providence, RI
National Provider Identifier
1144347535
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DCP00527 Issued in RI
Legal business name
NORTHEAST CHIROPRACTIC
Practice address
187 Waterman St
1St Floor
Providence, RI 02906-4065
Phone
(401) 861-1300
NPI assigned
Mar 23, 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
Dr. Thomas Coon Morison, D.C.NPI 1447317748
Title
President
Phone
(401) 861-1300

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 DCP00527 RI Primary

Addresses

Primary practice location

187 Waterman St
1St Floor
Providence, RI 02906-4065

Mailing address

187 Waterman St
1St Floor
Providence, RI 02906-4065
Phone (401) 861-1300

Other identifiers 4

IdentifierTypeStateIssuer
413061OtherRIDR. MORISON BLUE CHIP #
32096-8OtherRIDR. MORISON BCBS #
32095-9OtherRIDR. PRIVRASKY BCBS NUMBER
413060OtherRIDR. PRIVRATSKY BLUE CHIP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070430000528 RI Part B Supplier - Clinic/Group Practice 5991801417 Receives reassigned benefits from 1 practitioner
Practice locations: Providence, RI

National Provider Directory

National Provider Directory

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": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144347535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 WATERMAN ST",
            "address_2": "1ST FLOOR",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064065",
            "telephone_number": "401-861-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 WATERMAN ST",
            "address_2": "1ST FLOOR",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064065",
            "telephone_number": "401-861-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORISON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "COON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-861-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DCP00527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. MORISON BLUE CHIP #",
            "identifier": "413061",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. MORISON BCBS #",
            "identifier": "32096-8",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. PRIVRASKY BCBS NUMBER",
            "identifier": "32095-9",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. PRIVRATSKY BLUE CHIP",
            "identifier": "413060",
            "state": "RI"
        }
    ],
    "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 Aug 22, 2020; 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.