Active NPI
Paul M. Miele, D.C.
- Chiropractor
- Providence, RI
National Provider Identifier
1396814067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DCP00187
- Practice address
- 371 Broadway
Providence, RI 02909-1448 - Phone
- (401) 274-5100
- Fax
- (401) 455-0446
- NPI assigned
- Nov 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DCP00187 | RI | Primary |
Addresses
Primary practice location
371 Broadway
Providence, RI 02909-1448
Mailing address
1524 Atwood Ave
Suite 210a
Johnston, RI 02919-3228
Phone (401) 274-5100
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410044 | Other | RI | BLUE CHIP |
| 640438 | Other | RI | ACN GROUP |
| 4401089 | Other | RI | UNITED HEALTHCARE |
| 216351 | Other | RI | BLUE CROSS BLUE SHIELD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| DCP00187 | RI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhode Island Chiropractic Pain Control Clinic, Inc. | Chiropractor | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Chiropractor
- Johnston, RI
- NPI 1437228228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204848000000",
"number": "1396814067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1524 ATWOOD AVE",
"address_2": "SUITE 210A",
"city": "JOHNSTON",
"state": "RI",
"postal_code": "029193228",
"telephone_number": "401-274-5100",
"fax_number": "401-455-0446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "371 BROADWAY",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029091448",
"telephone_number": "401-274-5100",
"fax_number": "401-455-0446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIELE",
"first_name": "PAUL",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2008-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "RI",
"license": "DCP00187",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "410044",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN GROUP",
"identifier": "640438",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "4401089",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "216351",
"state": "RI"
}
],
"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 Mar 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.