Organization Active NPI

Mariel Phillip, D.C.,LLC

  • Point of Service
  • North Providence, RI
National Provider Identifier
1245462175
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
DCP00577 Issued in RI
Legal business name
MARIEL PHILLIP, D.C.,LLC
Practice address
1243 Mineral Spring Ave
Suite 209
North Providence, RI 02904-4636
Phone
(401) 952-0369
Fax
(401) 722-7631
NPI assigned
Aug 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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

Authorized official

Name
Dr. Mariel K Phillip, D.C.
Title
Chiropractic Physician
Phone
(401) 952-0369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X DCP00577 RI Primary

Addresses

Primary practice location

1243 Mineral Spring Ave
Suite 209
North Providence, RI 02904-4636

Mailing address

1243 Mineral Spring Ave
Suite 209
North Providence, RI 02904-4636
Phone (401) 952-0369

National Provider Directory

National Provider Directory

Locations

1243 Mineral Spring Ave
Unit 209
North Providence, RI 02904
Phone (401) 722-7421

NPI Registry JSON

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249948800000",
    "number": "1245462175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 MINERAL SPRING AVE",
            "address_2": "SUITE 209",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029044636",
            "telephone_number": "401-952-0369",
            "fax_number": "401-722-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 MINERAL SPRING AVE",
            "address_2": "SUITE 209",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029044636",
            "telephone_number": "401-952-0369",
            "fax_number": "401-722-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIEL PHILLIP, D.C.,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-11",
        "last_updated": "2009-08-11",
        "status": "A",
        "authorized_official_last_name": "PHILLIP",
        "authorized_official_first_name": "MARIEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "401-952-0369",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "RI",
            "license": "DCP00577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; 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.