Individual provider Active NPI

Ian Giuttari, DC

  • Chiropractor
  • North Providence, RI
National Provider Identifier
1386254829
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DCP00679 Issued in RI
Practice address
1920 Mineral Spring Ave Ste 16And17
North Providence, RI 02904-3742
Phone
(401) 354-5500
NPI assigned
Aug 7, 2020
Last updated
Aug 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DCP00679 RI Primary

Addresses

Primary practice location

1920 Mineral Spring Ave Ste 16And17
North Providence, RI 02904-3742

Mailing address

1920 Mineral Spring Ave Unit 16
North Providence, RI 02904-3742
Phone (401) 354-5500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211110000103 MA Practitioner - Chiropractic 8325467897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Physician Services LLCGroup PAC ID 1456348127, 15 clinicians

Practice addresses (Care Compare)

95 Frank B Murray St
Springfield, MA 01103-1106
Phone (413) 301-6019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3752MAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Physician Services LLC Chiropractor CurrentSince Oct 13, 2021 Accepting new patients

Locations

90 Everett Ave
Chelsea, MA 02150
Phone (413) 301-6019

95 Frank B Murray St
Springfield, MA 01103
Phone (413) 285-8586

Organizations & group practices 1

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": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1386254829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 MINERAL SPRING AVE UNIT 16",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029043742",
            "telephone_number": "401-354-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 MINERAL SPRING AVE STE 16AND17",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029043742",
            "telephone_number": "401-354-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIUTTARI",
        "first_name": "IAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DCP00679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.