New England Chiropractic Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3464 Issued in MA

Legal business name

NEW ENGLAND CHIROPRACTIC CENTER, LLC

Practice address

255 Hope St
Providence, RI 02906-2261

Phone

(401) 337-5684

Fax

(401) 337-9290

NPI assigned

Jul 22, 2014

Organization subpart

No

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

Authorized official

Name

Kristin Kolesar Fabris, D.C.NPI 1679759385

Title

Owner

Phone

(401) 337-5684

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristin Kolesar Fabris, D.C.

  • Chiropractor
  • Providence, RI
  • NPI 1679759385
  Medicare reassignment Care Compare group NPD Authorized official
• Eleanor L Stump, DC

  • Chiropractor
  • Laurel, DE
  • NPI 1194890244

  RI

  Medicare reassignment Care Compare group NPD
• Diane Marie Petrella, MSW

  • Clinical Social Worker
  • Providence, RI
  • NPI 1275574071
  NPD (past)

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1215344296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 HOPE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062261",
            "telephone_number": "401-337-5684",
            "fax_number": "401-337-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 HOPE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062261",
            "telephone_number": "401-337-5684",
            "fax_number": "401-337-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-22",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "KOLESAR FABRIS",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-337-5684",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Providence, RI
• Providers in Providence, RI by specialty
• Chiropractor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.