Individual provider Active NPI

David Anthony Pelosi, DC

  • Chiropractor
  • Providence, RI
National Provider Identifier
1376719146
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DCP00444 Issued in RI
Practice address
511 Broadway
Providence, RI 02909-1816
Phone
(401) 654-8222
Fax
(401) 453-0914
NPI assigned
May 1, 2008
Last updated
May 1, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DCP00444 RI Primary

Addresses

Primary practice location

511 Broadway
Providence, RI 02909-1816

Mailing address

511 Broadway
Providence, RI 02909-1816
Phone (401) 654-8222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190802002592 FL Practitioner - Chiropractic 7911078001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8614 Little Rd
New Port Richey, FL 34654-4945
Phone (727) 841-8488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pelosi Chiropractic and Wellness Center Inc Chiropractor CurrentSince Feb 11, 2019 Accepting new patients
Prospine Wellness & Injury Care PC Chiropractor PastSince Jan 15, 2020 Accepting new patients
Eastside Chiropractic Center Inc Chiropractor Past Accepting new patients
Acupractic Massage LLC PastSince Mar 1, 2011 Accepting new patients

Locations

8614 Little Rd
New Prt Rchy, FL 34654
Phone (727) 841-8448

Organizations & group practices 4

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": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1376719146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 BROADWAY",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029091816",
            "telephone_number": "401-654-8222",
            "fax_number": "401-453-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 BROADWAY",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029091816",
            "telephone_number": "401-654-8222",
            "fax_number": "401-453-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELOSI",
        "first_name": "DAVID",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DCP00444",
            "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 May 1, 2008; 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.