Gregg Allen Medeiros, D.C.

Primary specialty

Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X

License

DCP00545 Issued in RI

Practice address

1196 Elmwood Ave
Providence, RI 02907-3716

Phone

(401) 461-1600

Fax

(401) 461-3500

NPI assigned

Oct 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

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.

• Decrescenzo Chiropractic, Inc.

  • Chiropractor
  • East Providence, RI
  • NPI 1013036326
  Medicare reassignment NPD
• Precision Chiropractic, Inc

  • Independent Medical Examiner Chiropractor
  • Providence, RI
  • NPI 1134792427
  NPD Authorized official
• Chiropractic Associates, LLC

  • Independent Medical Examiner Chiropractor
  • Providence, RI
  • NPI 1871879528
  Authorized official Same address or phone
• Zola Chiropractic Center Inc

  • Chiropractor
  • Providence, RI
  • NPI 1710094693
  NPD (past)
• Herbert Curtisjr DC Inc

  dba Lincoln Chiropractic

  • Chiropractor
  • Fall River, MA
  • NPI 1851726889
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337731200000",
    "number": "1568545580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 MOUNTAIN AVE",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029155015",
            "telephone_number": "401-440-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1196 ELMWOOD AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029073716",
            "telephone_number": "401-461-1600",
            "fax_number": "401-461-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDEIROS",
        "first_name": "GREGG",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2012-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DCP00545",
            "primary": false
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "RI",
            "license": "DCP00545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0024812",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meals on Wheels of Ri, Inc.
• Elizabeth Moore Medbury, APRN
• Antone A Medeiros, MD
• David Jon Medeiros, LICSW
• Elizabeth Benevides Medeiros, PHARMD
• Haley Melina Medeiros, COTA
• Julie Medeiros
• Kelsey Quinn Medeiros
• Melissa Medeiros
• Ramona Medeiros, COTA

• Independent Medical Examiner Chiropractor in Providence, RI
• Providers in Providence, RI by specialty
• Independent Medical Examiner Chiropractor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.