Organization Active NPI

Twin River Chiropractic

  • Chiropractor
  • Smithfield, RI
National Provider Identifier
1154592319
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DCP00555 Issued in RI
Legal business name
TWIN RIVER CHIROPRACTIC
Practice address
305 Farnum Pike
Smithfield, RI 02917-1205
Phone
(401) 439-2083
NPI assigned
Mar 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Authorized official

Name
Dr. Jennifer M Smith, D.C.
Title
Co-Owner
Phone
(401) 439-2083

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DCP00555 RI Primary

Addresses

Primary practice location

305 Farnum Pike
Smithfield, RI 02917-1205

Mailing address

7 Tucker Rd
Greenville, RI 02828-2207

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080515000030 RI Part B Supplier - Clinic/Group Practice 1658440722 Receives reassigned benefits from 2 practitioners
Practice locations: Smithfield, RI

National Provider Directory

National Provider Directory

Locations

305 Farnum Pike
Smithfield, RI 02917
Phone (401) 233-2211

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": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1154592319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 TUCKER RD",
            "city": "GREENVILLE",
            "state": "RI",
            "postal_code": "028282207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 FARNUM PIKE",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "029171205",
            "telephone_number": "401-439-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN RIVER CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "401-439-2083",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DCP00555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.