Individual provider Active NPI

Denise Elizabeth Greber Draeger, D.C.

  • Chiropractor
  • N Scituate, RI
National Provider Identifier
1336257930
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DCP 00342 Issued in RI
Practice address
618 W Greenville Rd
N Scituate, RI 02857-1407
Phone
(401) 647-2550
Fax
(401) 934-3080
NPI assigned
Aug 25, 2006
Last updated
Sep 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DCP 00342 RI Primary

Addresses

Primary practice location

618 W Greenville Rd
N Scituate, RI 02857-1407

Mailing address

PO Box 595
North Scituate, RI 02857-0595
Phone (401) 647-2550

Other identifiers 8

IdentifierTypeStateIssuer
350105OtherRIHARVARD PILGRIM
401984OtherRIBLUE CHIP
646617OtherRIACN
4408475OtherRIATNEA
44-00078OtherRIBLUE CROSS
720080401OtherRICIGNA
774362OtherRITUFTS
9163-3OtherRIBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DCP 00342RIMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1336257930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 595",
            "city": "NORTH SCITUATE",
            "state": "RI",
            "postal_code": "028570595",
            "telephone_number": "401-647-2550",
            "fax_number": "401-934-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 W GREENVILLE RD",
            "city": "N SCITUATE",
            "state": "RI",
            "postal_code": "028571407",
            "telephone_number": "401-647-2550",
            "fax_number": "401-934-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREBER DRAEGER",
        "first_name": "DENISE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DCP 00342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "350105",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "401984",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "646617",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATNEA",
            "identifier": "4408475",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "44-00078",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "720080401",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "774362",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "9163-3",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in N Scituate, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.