Organization Active NPI

Van Amberg Family Chiropractic, LLC

  • Chiropractor
  • Warren, RI
National Provider Identifier
1548533649
Registry record updated Feb 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC00421 Issued in RI
Legal business name
VAN AMBERG FAMILY CHIROPRACTIC, LLC
Practice address
606 Metacom Ave
Suite 5
Warren, RI 02885-2837
Phone
(401) 245-6294
NPI assigned
Feb 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2012

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

Authorized official

Name
Dr. David J Van Amberg, D.C.NPI 1821183641
Title
Owner
Phone
(401) 245-6294

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC00421 RI Primary

Addresses

Primary practice location

606 Metacom Ave
Suite 5
Warren, RI 02885-2837

Mailing address

606 Metacom Ave
Suite 5
Warren, RI 02885-2837
Phone (401) 245-6294

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120308000014 RI Part B Supplier - Clinic/Group Practice 3476712605 Receives reassigned benefits from 1 practitioner
Practice locations: Warren, RI

National Provider Directory

National Provider Directory

Locations

606 Metacom Ave
Unit 5
Warren, RI 02885
Phone (401) 245-6294

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1548533649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 METACOM AVE",
            "address_2": "SUITE 5",
            "city": "WARREN",
            "state": "RI",
            "postal_code": "028852837",
            "telephone_number": "401-245-6294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 METACOM AVE",
            "address_2": "SUITE 5",
            "city": "WARREN",
            "state": "RI",
            "postal_code": "028852837",
            "telephone_number": "401-245-6294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN AMBERG FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-21",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "VAN AMBERG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-245-6294",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DC00421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; 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.