Active NPI
Joao Carlos Taveira Duarte, DC
- Chiropractor
- Cranston, RI
National Provider Identifier
1760021463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DCP00674
- Practice address
- 875 Pontiac Ave
Cranston, RI 02910-6024 - Phone
- (401) 275-2225
- NPI assigned
- Dec 27, 2019
- Last updated
- Dec 27, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DCP00674 | RI | Primary |
Addresses
Primary practice location
875 Pontiac Ave
Cranston, RI 02910-6024
Mailing address
7 Macondray St
Cumberland, RI 02864-8311
Phone (401) 692-2470
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240206000828 | RI | Practitioner - Chiropractic | 9739522814 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577404800000",
"number": "1760021463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 MACONDRAY ST",
"city": "CUMBERLAND",
"state": "RI",
"postal_code": "028648311",
"telephone_number": "401-692-2470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 PONTIAC AVE",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029106024",
"telephone_number": "401-275-2225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUARTE",
"first_name": "JOAO CARLOS",
"middle_name": "TAVEIRA",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-27",
"last_updated": "2019-12-27",
"certification_date": "2019-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "RI",
"license": "DCP00674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cranston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.