Stephan Saggal, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

DCP00695 Issued in RI

Practice address

667 Academy Ave
Providence, RI 02908-2105

Phone

(401) 354-4460

NPI assigned

Aug 7, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Lanni Chiropractic and Sports Injuries Center

  • Chiropractor
  • Providence, RI
  • NPI 1083390942
  NPD

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

{
    "created_epoch": "1628294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1689348195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 ACADEMY AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029082105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 ACADEMY AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029082105",
            "telephone_number": "401-354-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGGAL",
        "first_name": "STEPHAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-07",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "RI",
            "license": "DCP00695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Safe Haven Counseling Services, LLC
• Safe Trip Transports LLC
• Safiri Transportation LLC
• Howard Safran, M.D.
• Juana Sagbay, RN, CDOE
• Bibek Saha, MD
• Dalia Saha, M.D.
• Emre Sahin, MD
• Ekknoor K. Sahota, MD
• Fuad Riyad Said

• Sports Physician Chiropractor in Providence, RI
• Providers in Providence, RI by specialty
• Sports Physician Chiropractor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.