Active NPI
Dean R Janssen, DC
- Chiropractor
- Middletown, RI
National Provider Identifier
1497811947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- RI 356
- Practice address
- 850 Aquidneck Ave
Suite B-12
Middletown, RI 02842-7244 - Phone
- (401) 847-5311
- Fax
- (401) 847-5342
- NPI assigned
- Dec 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | RI 356 | RI | Primary |
| Chiropractor | 111N00000X | CH 7285 | FL |
Addresses
Primary practice location
850 Aquidneck Ave
Suite B-12
Middletown, RI 02842-7244
Mailing address
850 Aquidneck Ave
Suite B-12
Middletown, RI 02842-7244
Phone (401) 847-5311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26631 0 | 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 |
|---|---|---|---|
| CH 7285 | FL | MD | Chiropractor |
| RI 356 | RI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497811947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 AQUIDNECK AVE",
"address_2": "SUITE B-12",
"city": "MIDDLETOWN",
"state": "RI",
"postal_code": "028427244",
"telephone_number": "401-847-5311",
"fax_number": "401-847-5342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 AQUIDNECK AVE",
"address_2": "SUITE B-12",
"city": "MIDDLETOWN",
"state": "RI",
"postal_code": "028427244",
"telephone_number": "401-847-5311",
"fax_number": "401-847-5342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANSSEN",
"first_name": "DEAN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "RI",
"license": "RI 356",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH 7285",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "26631 0",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Middletown, RI
Sources for this page
- 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.