Jennifer Marie D'Antonio, D.C.

Individual provider Active NPI Chiropractor · Smithfield, RI

NPI 1265614499 · NPPES record last updated May 28, 2025

Key facts

NPI
1265614499
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
00555 (RI)
Practice address
305 Farnum Pike
Smithfield, RI 02917-1205
Phone
(401) 233-2211
NPI assigned
Nov 29, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Twin River Chiropractic (2 clinicians)

Practice addresses (Care Compare)

305 Farnum Pike
Smithfield, RI 02917-1205
Phone (401) 233-2211

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in RI, MA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20080515000034 RI Practitioner - Chiropractic 4284703356 Reassigns benefits to 1 organization
I20201012002063 MA Practitioner - Chiropractic 4284703356 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
00555RIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bayside Chiropractic, PC Chiropractor Current
since Sep 1, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 00555 RI Yes

Addresses

Primary practice location

305 Farnum Pike
Smithfield, RI 02917-1205

Mailing address

305 Farnum Pike
Smithfield, RI 02917-1205
Phone (401) 233-2211

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 28, 2025.

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1265614499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 FARNUM PIKE",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "029171205",
            "telephone_number": "401-233-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 FARNUM PIKE",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "029171205",
            "telephone_number": "401-233-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ANTONIO",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-29",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "00555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, RI

All providers in Smithfield, RI · Chiropractor in Rhode Island

Sources for this page

Verify at the official NPI Registry.