Michael Anthony Lancellotti, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DCP00243 Issued in RI

Practice address

1637 Mineral Spring Ave
Suite 201
North Providence, RI 02904-4042

Phone

(401) 354-5120

Fax

(401) 354-5122

NPI assigned

Aug 17, 2005

Last updated

Jul 8, 2007By 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 3

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Providence Chiropractic Clinic Inc

  • Chiropractor
  • North Providence, RI
  • NPI 1043376684
  Medicare reassignment NPD Authorized official
• Associates in Podiatry Incorporated

  • Podiatrist
  • East Greenwich, RI
  • NPI 1750585295
  NPD (past)

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427040336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1637 MINERAL SPRING AVE",
            "address_2": "SUITE 201",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029044042",
            "telephone_number": "401-354-5120",
            "fax_number": "401-354-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1637 MINERAL SPRING AVE",
            "address_2": "SUITE 201",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029044042",
            "telephone_number": "401-354-5120",
            "fax_number": "401-354-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANCELLOTTI",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DCP00243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHIP RI",
            "identifier": "400742",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSRI",
            "identifier": "0000003521",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "440421",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Krause, CRNA
• Jessica Kleib Krizman, LMHC
• Manyuan Kromah, M.S.W.
• Rita S. Kurl, M.D.
• Amy G. Lafontaine, P.A.
• Thomas Matthew Landry, M.S., CCC-SLP
• Catherine Deborah Lariviere, LCDP
• Moshood Lawal
• Eileen Lawler
• Adam Lawlor

• Chiropractor in North Providence, RI
• Providers in North Providence, 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.
• 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.