Providence Chiropractic, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

DCP00576 Issued in RI

Legal business name

PROVIDENCE CHIROPRACTIC, LLC

Practice address

635 Hope St
Providence, RI 02906

Phone

(401) 351-6390

Fax

(401) 331-0614

NPI assigned

May 10, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Allison Jennings Hurley, D.C.

Title

Chiropractor

Phone

(401) 270-3773

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Acta Chiropractic and Wellness Doing business as

Tax ID family

Acta Chiropractic and Wellness2 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.

• Providence Chiropractic, LLC

  • Chiropractor
  • Providence, RI
  • NPI 1205282985
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Harden-Venable, D.C.

  • Chiropractor
  • Fort Mill, SC
  • NPI 1922354034
  NPD
• Joshua Scott Sullivan, DC

  • Chiropractor
  • Fort Mill, SC
  • NPI 1437080371

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1871938308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 HOPE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02906",
            "telephone_number": "401-351-6390",
            "fax_number": "401-331-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 HOPE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02906",
            "telephone_number": "401-351-6390",
            "fax_number": "401-331-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-10",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "HURLEY",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "JENNINGS",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "401-270-3773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "RI",
            "license": "DCP00576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1629214002",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acta Chiropractic and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Providence Behavioral Health Associates Inc
• Providence Cardiology Inc
• Providence Cardiology Testing
• Providence Children'S Museum
• Providence Chiropractic, LLC
• Providence College Student Health Services
• Providence Community Action
• Providence Community Acupuncture, LLC
• Providence Dental Group, LLC
• Providence Dental PC

• Medical Specialty Clinic/Center in Providence, RI
• Providers in Providence, RI by specialty
• Medical Specialty Clinic/Center in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.