Roger S Redleaf, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

RI166 Issued in RI

Practice address

95 Sockanosset Crossroads
Suite 303
Cranston, RI 02920-5559

Phone

(401) 944-6582

Fax

(401) 943-8782

NPI assigned

Jul 25, 2006

Last updated

Jul 25, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1386667236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 SOCKANOSSET CROSSROADS",
            "address_2": "SUITE 303",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029205559",
            "telephone_number": "401-944-6582",
            "fax_number": "401-943-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 SOCKANOSSET CROSSROADS",
            "address_2": "SUITE 303",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029205559",
            "telephone_number": "401-944-6582",
            "fax_number": "401-943-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDLEAF",
        "first_name": "ROGER",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "RI166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH",
            "identifier": "669464",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "9002",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Cranston, RI
• Providers in Cranston, RI by specialty
• Chiropractor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; 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.