Individual provider Active NPI

David Jehring Vanamberg, DC

  • Chiropractor
  • Warren, RI
National Provider Identifier
1821183641
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC00421 Issued in RI
Practice address
606 Metacom Avenue
#5
Warren, RI 02885-2806
Phone
(401) 245-6294
Fax
(401) 245-6295
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC00421 RI Primary

Addresses

Primary practice location

606 Metacom Avenue
#5
Warren, RI 02885-2806

Mailing address

606 Metacom Avenue
Vanamberg Family Chiropractic #5
Warren, RI 02885-2806
Phone (401) 245-6294

Other identifiers 2

IdentifierTypeStateIssuer
409846OtherRIBCBS BLUE CHIP
RI231260OtherRIBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120308000027 RI Practitioner - Chiropractic 7911166145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

606 Metacom Ave
Unit 5
Warren, RI 02885-2836
Phone (401) 245-6294

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Van Amberg Family Chiropractic, LLC Chiropractor CurrentSince Nov 13, 2011 Accepting new patients

Locations

606 Metacom Ave
Unit 5
Warren, RI 02885
Phone (401) 245-6294

Organizations & group practices 1

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821183641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 METACOM AVENUE",
            "address_2": "VANAMBERG FAMILY CHIROPRACTIC #5",
            "city": "WARREN",
            "state": "RI",
            "postal_code": "028852806",
            "telephone_number": "401-245-6294",
            "fax_number": "401-245-6295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 METACOM AVENUE",
            "address_2": "#5",
            "city": "WARREN",
            "state": "RI",
            "postal_code": "028852806",
            "telephone_number": "401-245-6294",
            "fax_number": "401-245-6295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANAMBERG",
        "first_name": "DAVID",
        "middle_name": "JEHRING",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DC00421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS BLUE CHIP",
            "identifier": "409846",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "RI231260",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.