Organization Active NPI

Providence Chiropractic, LLC

  • Chiropractor
  • Providence, RI
National Provider Identifier
1205282985
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DCP00576 Issued in RI
Legal business name
PROVIDENCE CHIROPRACTIC, LLC
Practice address
635 Hope St
Providence, RI 02906-2652
Phone
(401) 351-6390
Fax
(401) 331-0614
NPI assigned
May 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Authorized official

Name
Dr. Allison Jennings Hurley, D.C.
Title
Owner/Chiropractor
Phone
(401) 351-6390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DCP00576 RI Primary

Addresses

Primary practice location

635 Hope St
Providence, RI 02906-2652

Mailing address

635 Hope St
Providence, RI 02906-2652
Phone (401) 351-6390

Other names 1

  • Acta Chiropractic and Wellness Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Acta Chiropractic and Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462924800000",
    "number": "1205282985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 HOPE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062652",
            "telephone_number": "401-351-6390",
            "fax_number": "401-331-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 HOPE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062652",
            "telephone_number": "401-351-6390",
            "fax_number": "401-331-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2016-05-11",
        "status": "A",
        "authorized_official_last_name": "HURLEY",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "JENNINGS",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "401-351-6390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DCP00576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acta Chiropractic and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 11, 2016; 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.