Organization Active NPI

Belanger Chiropractic LLC

  • Chiropractor
  • Wakefield, RI
National Provider Identifier
1306887237
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BELANGER CHIROPRACTIC LLC
Practice address
24 Salt Pond Rd Ste C5
Wakefield, RI 02879-4320
Phone
(401) 789-5008
Fax
(401) 789-5550
NPI assigned
Jun 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Authorized official

Name
Dr. Justin Louis BelangerNPI 1003393901
Title
Owner/ Chiropractic Physician
Phone
(401) 789-5008

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 Primary

Addresses

Primary practice location

24 Salt Pond Rd Ste C5
Wakefield, RI 02879-4320

Mailing address

24 Salt Pond Rd
Suite C5
Wakefield, RI 02879-4314
Phone (401) 789-5008

Other names 1

  • Center For Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040729000637 RI Part B Supplier - Clinic/Group Practice 8022088780 Receives reassigned benefits from 2 practitioners
Practice locations: Wakefield, RI
O20210722001598 RI Part B Supplier - Clinic/Group Practice 6406259886 Receives reassigned benefits from 2 practitioners
Practice locations: Wakefield, RI; West Greenwich, RI

National Provider Directory

National Provider Directory

Locations

24 Salt Pond Rd
Ste C5
Wakefield, RI 02879
Phone (401) 789-5008

Practitioners & affiliated clinicians

Practitioners 5

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": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1306887237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 SALT POND RD",
            "address_2": "SUITE C5",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794314",
            "telephone_number": "401-789-5008",
            "fax_number": "401-789-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 SALT POND RD STE C5",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794320",
            "telephone_number": "401-789-5008",
            "fax_number": "401-789-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELANGER CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "BELANGER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER/ CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "401-789-5008",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center For Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wakefield, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.