Active NPI
Mariel Phillip, D.C.,LLC
- Point of Service
- North Providence, RI
National Provider Identifier
1245462175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- License
- DCP00577
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.