Active NPI
Mariel K Phillip
- Chiropractor
- North Providence, RI
National Provider Identifier
1407003304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DCP00577
- Practice address
- 1243 Mineral Spring Ave 201
North Providence, RI 02904-4636 - Phone
- (401) 952-0369
- Fax
- (401) 475-6060
- NPI assigned
- Aug 21, 2008
- Sex
- Female
- 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 | DCP00577 | RI | Primary |
Addresses
Primary practice location
1243 Mineral Spring Ave 201
North Providence, RI 02904-4636
Mailing address
1243 Mineral Ave
Unit 201
North Providence, RI 02904-1226
Phone (401) 952-0369
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 |
|---|---|---|---|
| DCP00577 | RI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Melman Chiropractic Group, P.C. | 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
- Boston, MA
- NPI 1487653580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437609600000",
"number": "1407003304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1243 MINERAL AVE",
"address_2": "UNIT 201",
"city": "NORTH PROVIDENCE",
"state": "RI",
"postal_code": "029041226",
"telephone_number": "401-952-0369",
"fax_number": "401-475-6060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1243 MINERAL SPRING AVE 201",
"city": "NORTH PROVIDENCE",
"state": "RI",
"postal_code": "029044636",
"telephone_number": "401-952-0369",
"fax_number": "401-475-6060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIP",
"first_name": "MARIEL",
"middle_name": "K",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-21",
"last_updated": "2015-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "RI",
"license": "DCP00577",
"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 Jul 23, 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.