Jonathan Roger Gramolini, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DCP 00408 Issued in RI

Practice address

3770 Mendon Road
Cumberland, RI 02864

Phone

(401) 658-0111

Fax

(401) 658-4050

NPI assigned

Jan 2, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407913049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3770 MENDON ROAD",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "02864",
            "telephone_number": "401-658-0111",
            "fax_number": "401-658-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3770 MENDON ROAD",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "02864",
            "telephone_number": "401-658-0111",
            "fax_number": "401-658-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAMOLINI",
        "first_name": "JONATHAN",
        "middle_name": "ROGER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DCP 00408",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2548",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "44 00564",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "21036 8",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise M Goodman, D.M.D.
• Marie Theresa Goodman, COTA
• Warren Goolgasian II
• Blythe C. Gould
• Olivia J Gould
• Jenna Gravel
• Greater Providence Chapter,Riarc
• Kristin A Grimes, MD
• Lindsey Grissom
• Amanda Elizabeth Guerra

• Chiropractor in Cumberland, RI
• Providers in Cumberland, 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 8, 2007; 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.