Organization Active NPI

Paul E Sayour

Doing business as Wickford Chiropractic & Wellness Center

  • Chiropractor
  • North Kingstown, RI
National Provider Identifier
1457370496
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DCP00345 Issued in RI
Legal business name
PAUL E SAYOUR
Doing business as
Wickford Chiropractic & Wellness Center
Practice address
610 Ten Rod Rd
North Kingstown, RI 02852-4206
Phone
(401) 295-9767
Fax
(401) 295-0230
NPI assigned
Jul 19, 2006
Last updated
Jun 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2014

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

Authorized official

Name
Paul E Sayour, DCNPI 1013950765
Title
Owner Provider
Phone
(401) 295-9767

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DCP00345 RI Primary

Addresses

Primary practice location

610 Ten Rod Rd
North Kingstown, RI 02852-4206

Mailing address

610 Ten Rod Road
North Kingston, RI 02852
Phone (401) 295-9767

Other identifiers 1

IdentifierTypeStateIssuer
1457370496OtherRIGROUP NPI

Other names 1

  • Wickford Chiropractic & Wellness Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040623000419 RI Part B Supplier - Clinic/Group Practice 8325034374 Receives reassigned benefits from 2 practitioners
Practice locations: North Kingstown, RI

National Provider Directory

National Provider Directory

Locations

610 Ten Rod Rd
North Kingstown, RI 02852
Phone (401) 295-9767

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1457370496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 TEN ROD ROAD",
            "city": "NORTH KINGSTON",
            "state": "RI",
            "postal_code": "02852",
            "telephone_number": "401-295-9767",
            "fax_number": "401-295-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 TEN ROD RD",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028524206",
            "telephone_number": "401-295-9767",
            "fax_number": "401-295-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL E SAYOUR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "SAYOUR",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER PROVIDER",
        "authorized_official_telephone_number": "401-295-9767",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DCP00345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1457370496",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wickford Chiropractic & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Kingstown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.