Individual provider Active NPI

Wesley Stubbs, D.C.

  • Chiropractor
  • Barrington, RI
National Provider Identifier
1720149230
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DCP00574 Issued in RI
Practice address
146 Anoka Ave
Barrington, RI 02806-3428
Phone
(401) 289-0155
Fax
(401) 289-2302
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3104 MA
Chiropractor 111N00000X DC30042 CA
Chiropractor 111N00000X DCP00574 RI Primary

Addresses

Primary practice location

146 Anoka Ave
Barrington, RI 02806-3428

Mailing address

146 Anoka Ave
Barrington, RI 02806-3428
Phone (401) 289-0155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080213000527 MA Practitioner - Chiropractic 5294818225 Reassigns benefits to 1 organization
I20081217000400 RI Practitioner - Chiropractic 5294818225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seaside Family Chiropractic, LLCGroup PAC ID 2961564463, 2 clinicians

Practice addresses (Care Compare)

146 Anoka Ave
Barrington, RI 02806-3428
Phone (401) 289-0155

47 Alden Rd
Suite a
Fairhaven, MA 02719-4639
Phone (774) 770-4147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC30042CAMDChiropractor
3104MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Seaside Family Chiropractic, LLC Chiropractor CurrentSince Oct 1, 2008 Accepting new patients
Malik Enterprises, Inc. Chiropractor PastSince Oct 1, 2008 Accepting new patients
Newton Whole Health, LLC Chiropractor Past Accepting new patients
Page Enterprises Inc Chiropractor Past Accepting new patients
Page Enterprises Inc Chiropractor Past Accepting new patients

Locations

47 Alden Rd
Ste A
Fairhaven, MA 02719
Phone (774) 770-4147

146 Anoka Ave
Barrington, RI 02806
Phone (401) 289-0155

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223942400000",
    "number": "1720149230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 ANOKA AVE",
            "city": "BARRINGTON",
            "state": "RI",
            "postal_code": "028063428",
            "telephone_number": "401-289-0155",
            "fax_number": "401-289-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 ANOKA AVE",
            "city": "BARRINGTON",
            "state": "RI",
            "postal_code": "028063428",
            "telephone_number": "401-289-0155",
            "fax_number": "401-289-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBBS",
        "first_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2008-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3104",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30042",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DCP00574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barrington, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.