NPIMap

Organization Active NPI

Metacom Chiropractic Centre, Inc

  • Chiropractor
  • Bristol, RI
National Provider Identifier
1255405437
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
00324 Issued in RI
Legal business name
METACOM CHIROPRACTIC CENTRE, INC
Practice address
450 Hope St
2ND FL
Bristol, RI 02809-1834
Phone
(401) 253-1130
Fax
(401) 253-8320
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2011

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

Authorized official

Name
Dr. Mark V Alano, DCNPI 1063503472
Title
Owner
Phone
(401) 253-1130

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 00324 RI Primary

Addresses

Primary practice location

450 Hope St
2ND FL
Bristol, RI 02809-1834

Mailing address

450 Hope St
2ND FL
Bristol, RI 02809-1834
Phone (401) 253-1130

Other names 1

  • Coastal Chiropractic Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110816000006 RI Part B Supplier - Clinic/Group Practice 9335318948 Receives reassigned benefits from 2 practitioners
Practice locations: Bristol, RI

National Provider Directory

National Provider Directory

Locations

576 Metacom Ave
Unit 8
Bristol, RI 02809
Phone (401) 253-1130

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1255405437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 HOPE ST",
            "address_2": "2ND FL",
            "city": "BRISTOL",
            "state": "RI",
            "postal_code": "028091834",
            "telephone_number": "401-253-1130",
            "fax_number": "401-253-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 HOPE ST",
            "address_2": "2ND FL",
            "city": "BRISTOL",
            "state": "RI",
            "postal_code": "028091834",
            "telephone_number": "401-253-1130",
            "fax_number": "401-253-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METACOM CHIROPRACTIC CENTRE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "ALANO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-253-1130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "00324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Chiropractic Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 18, 2011; 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.