NPIMap

Organization Active NPI

Pelton Family Chiropractic Center, Inc.

  • Chiropractor
  • Wakefield, RI
National Provider Identifier
1740361419
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC323 Issued in RI
Legal business name
PELTON FAMILY CHIROPRACTIC CENTER, INC.
Practice address
730 Kingstown Rd Ste 3
Wakefield, RI 02879-3002
Phone
(401) 782-8380
Fax
(401) 782-3650
NPI assigned
Oct 18, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Christine Lynn Pelton, D.C.NPI 1750481321
Title
Vice President
Phone
(401) 782-8380

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC323 RI Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC332 RI

Addresses

Primary practice location

730 Kingstown Rd Ste 3
Wakefield, RI 02879-3002

Mailing address

730 Kingstown Rd Ste 3
Wakefield, RI 02879-3002
Phone (401) 782-8380

Other identifiers 5

IdentifierTypeStateIssuer
44-00020OtherRIUHC -DR. CHRISTINE PELTON
44-00023OtherRIUHC -DR. KEVIN PELTON
9145-5OtherRIBLUE CROSS BLUE SHIELD RI
000323MedicaidRI
000332MedicaidRI

National Provider Directory

National Provider Directory

Locations

730 Kingstown Rd
Ste 3
Wakefield, RI 02879
Phone (401) 782-8380

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740361419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 KINGSTOWN RD STE 3",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793002",
            "telephone_number": "401-782-8380",
            "fax_number": "401-782-3650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 KINGSTOWN RD STE 3",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793002",
            "telephone_number": "401-782-8380",
            "fax_number": "401-782-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELTON FAMILY CHIROPRACTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PELTON",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "401-782-8380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DC323",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DC332",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC -DR. CHRISTINE PELTON",
            "identifier": "44-00020",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC -DR. KEVIN PELTON",
            "identifier": "44-00023",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD RI",
            "identifier": "9145-5",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000323",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000332",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.