Easton Pond Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DCP00302 Issued in RI

Legal business name

EASTON POND CHIROPRACTIC, INC.

Practice address

272 Valley Rd
Middletown, RI 02842-5238

Phone

(401) 848-7634

Fax

(401) 842-0680

NPI assigned

Nov 19, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Donald Gordon Gibson III, D.C.

Title

President

Phone

(401) 848-7634

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

Practitioners 2

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

• D. Gordon Gibson, DC

  • Chiropractor
  • Middletown, RI
  • NPI 1568567592
  Medicare reassignment NPD
• Rhonda L Sabo, PSY.D.

  • Clinical Psychologist
  • Providence, RI
  • NPI 1003955634
  NPD (past)

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563408000000",
    "number": "1700250347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 VALLEY RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028425238",
            "telephone_number": "401-848-7634",
            "fax_number": "401-842-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 VALLEY RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028425238",
            "telephone_number": "401-848-7634",
            "fax_number": "401-842-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTON POND CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-19",
        "last_updated": "2019-07-18",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-848-7634",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DCP00302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra L Dyl, R. N.
• Corrie-Lynn Dyson
• Marcia J Eagleson, MED
• Ear Nose & Throat Medicine and Surgery Group, LLC
• Robyn Lynn Earley, MA, CCC-SLP
• Cecelia Glynn Echevarria
• Christa Edolo, LCSW
• Zachery C Edwards, OTD, OTR/L
• Lamis Elbstamey
• Casey Eldert, MD

• Chiropractor in Middletown, RI
• Providers in Middletown, RI by specialty
• Chiropractor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.