Organization Active NPI

Chiron Chiropractic Care LLC

  • Chiropractor
  • Cranston, RI
National Provider Identifier
1861038150
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIRON CHIROPRACTIC CARE LLC
Practice address
1107 Pontiac Ave
Cranston, RI 02920-7919
Phone
(401) 354-2826
Fax
(401) 354-2826
NPI assigned
Nov 21, 2019
Last updated
Dec 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Authorized official

Name
Dr. Soon Leng NG, DCNPI 1669902870
Title
Owner
Phone
(518) 488-8045

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1107 Pontiac Ave
Cranston, RI 02920-7919

Mailing address

1107 Pontiac Ave
Cranston, RI 02920-7919
Phone (401) 354-2826

Other identifiers 1

IdentifierTypeStateIssuer
DC00449MedicaidRI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drngsl@icloud.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191212001670 RI Part B Supplier - Clinic/Group Practice 4789017369 Receives reassigned benefits from 1 practitioner
Practice locations: Cranston, RI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
41D2168210Chiron Chiropractic Care LLC1107 Pontiac Ave, Cranston, RI 02920Certificate of waiverJun 24, 2027

National Provider Directory

National Provider Directory
Tax ID family
Chiron Chiropractic Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1107 Pontiac Ave
Cranston, RI 02920
Phone (401) 354-2826

63 Sockanosset Cross Rd
Ste 4A
Cranston, RI 02920
Phone (401) 354-2826

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": "1574294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576800000000",
    "number": "1861038150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 PONTIAC AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029207919",
            "telephone_number": "401-354-2826",
            "fax_number": "401-354-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 PONTIAC AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029207919",
            "telephone_number": "401-354-2826",
            "fax_number": "401-354-2826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRON CHIROPRACTIC CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-21",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A",
        "authorized_official_last_name": "NG",
        "authorized_official_first_name": "SOON",
        "authorized_official_middle_name": "LENG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-488-8045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC00449",
            "state": "RI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drngsl@icloud.com",
            "affiliation": "N",
            "address_1": "1107 Pontiac Ave",
            "city": "Cranston",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029207919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 20, 2019; 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.