Active NPI
Victor M Pedro, D.C
- Neurology Chiropractor
- Cranston, RI
National Provider Identifier
1508802265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- 244DC
- Practice address
- 521 Park Ave
Cranston, RI 02910-2346 - Phone
- (401) 781-3374
- Fax
- (401) 781-3376
- NPI assigned
- Jun 21, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | 244DC | RI | Primary |
Addresses
Primary practice location
521 Park Ave
Cranston, RI 02910-2346
Mailing address
521 Park Ave
Cranston, RI 02910-2346
Phone (401) 781-3374
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 |
|---|---|---|---|
| 244DC | RI | MD | Neurology Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471996800000",
"number": "1508802265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 PARK AVE",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029102346",
"telephone_number": "401-781-3374",
"fax_number": "401-781-3376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 PARK AVE",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029102346",
"telephone_number": "401-781-3374",
"fax_number": "401-781-3376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEDRO",
"first_name": "VICTOR",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2016-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "RI",
"license": "244DC",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cranston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.