Individual provider Active NPI

David Michael Sequino, D.C.

  • Chiropractor
  • Bristol, RI
National Provider Identifier
1184752545
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DCP00507 Issued in RI
Practice address
576 Metacom Ave. #3
Bristol, RI 02809-5100
Phone
(401) 254-7442
Fax
(401) 254-7443
NPI assigned
Feb 28, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DCP00507 RI Primary

Addresses

Primary practice location

576 Metacom Ave. #3
Bristol, RI 02809-5100

Mailing address

43 Leahy Dr.
Bristol, RI 02809-5100
Phone (401) 254-6045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DCP00507RIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Nose & Throat Medicine and Surgery Group, LLC PastSince Jul 1, 1994 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184752545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 LEAHY DR.",
            "city": "BRISTOL",
            "state": "RI",
            "postal_code": "028095100",
            "telephone_number": "401-254-6045",
            "fax_number": "401-254-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 METACOM AVE. #3",
            "city": "BRISTOL",
            "state": "RI",
            "postal_code": "028095100",
            "telephone_number": "401-254-7442",
            "fax_number": "401-254-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEQUINO",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DCP00507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.