Individual provider Active NPI

Ronald J Tyszkowski, DC

  • Chiropractor
  • Providence, RI
National Provider Identifier
1336187004
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
346 Issued in RI
Practice address
2 Richmond SQ
Square
Providence, RI 02906-5100
Phone
(401) 751-6568
Fax
(401) 490-3976
NPI assigned
Jun 3, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 346 RI Primary

Addresses

Primary practice location

2 Richmond SQ
Square
Providence, RI 02906-5100

Mailing address

PO Box 9117
Warwick, RI 02889-0117
Phone (401) 751-6568

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040517000603 RI Practitioner - Chiropractic 2466442983 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

935 Jefferson Blvd
Suite 1002
Warwick, RI 02886-2225
Phone (401) 751-6568

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
346RIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Decrescenzo Chiropractic, Inc. Chiropractor CurrentSince Jun 1, 2016 Accepting new patients
Lighthouse Chiropractic, PC Chiropractor CurrentSince Apr 1, 2011 Accepting new patients
Ronald J. Tyszkowski, DC Chiropractor PastSince Jan 1, 2000 Accepting new patients

Locations

160 Taunton Ave
East Providence, RI 02914
Phone (401) 270-8865

935 Jefferson Blvd
Ste 1002
Warwick, RI 02886
Phone (401) 490-7530

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1336187004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9117",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028890117",
            "telephone_number": "401-751-6568",
            "fax_number": "401-490-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 RICHMOND SQ",
            "address_2": "SQUARE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065100",
            "telephone_number": "401-751-6568",
            "fax_number": "401-490-3976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYSZKOWSKI",
        "first_name": "RONALD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.