Individual provider Active NPI

Jamie M. Enos, D.C.

  • Chiropractor
  • Warwick, RI
National Provider Identifier
1154355238
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DCP 00459 Issued in RI
Practice address
12 Calef St
Warwick, RI 02886-4345
Phone
(401) 921-6550
Fax
(401) 921-6552
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DCP 00459 RI Primary

Addresses

Primary practice location

12 Calef St
Warwick, RI 02886-4345

Mailing address

12 Calef St
Warwick, RI 02886-4345
Phone (401) 921-6550

Other identifiers 3

IdentifierTypeStateIssuer
323446OtherRIBLUE CROSS
409286OtherRIBLUE CHIP OF RI
44 01191OtherRIUNITED HEALTH CARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071127000810 RI Practitioner - Chiropractic 0941399075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12 Calef St
Warwick, RI 02886-4345
Phone (401) 921-6550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DCP 00459RIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Enos Chiropractic Center Inc Chiropractor CurrentSince Feb 4, 2008 Accepting new patients

Locations

12 Calef St
Warwick, RI 02886
Phone (401) 258-6444

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1154355238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CALEF ST",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864345",
            "telephone_number": "401-921-6550",
            "fax_number": "401-921-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CALEF ST",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864345",
            "telephone_number": "401-921-6550",
            "fax_number": "401-921-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENOS",
        "first_name": "JAMIE",
        "middle_name": "M.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DCP 00459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "323446",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP OF RI",
            "identifier": "409286",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "44 01191",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.