Active NPI
Mary Grace Basler, DC
- Chiropractor
- Providence, RI
National Provider Identifier
1902978992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DCP00294
- Practice address
- 909 North Main Street
Providence, RI 02904 - Phone
- (401) 421-9695
- Fax
- (401) 331-1550
- NPI assigned
- Nov 14, 2006
- Sex
- Female
- 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 | DCP00294 | RI | Primary |
Addresses
Primary practice location
909 North Main Street
Providence, RI 02904
Mailing address
909 North Main Street
Providence, RI 02904
Phone (401) 421-9695
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204246 | Other | BLUE CHIP | |
| 35422 | Other | BC BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100205000368 | RI | Practitioner - Chiropractic | 8921141417 | Practice locations: Providence, RI |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1988
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1261 N Main St
Providence, RI 02904-1872
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DCP00294 | RI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Basler Chiropractic LLC | Chiropractor | Current | Accepting new patients |
| Basler Chiropractic Center, Inc. | Chiropractor | Past | Accepting new patients |
Locations
1261 N Main St
Providence, RI 02904
1261 N Main St
Ste 1
Providence, RI 02904
Phone (401) 421-0290
Organizations & group practices 2
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.
-
- Chiropractor
- Providence, RI
- NPI 1932239423
-
- Chiropractor
- Providence, RI
- NPI 1235877291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902978992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 NORTH MAIN STREET",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "02904",
"telephone_number": "401-421-9695",
"fax_number": "401-331-1550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 NORTH MAIN STREET",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "02904",
"telephone_number": "401-421-9695",
"fax_number": "401-331-1550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASLER",
"first_name": "MARY",
"middle_name": "GRACE",
"name_prefix": "Ms.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "RI",
"license": "DCP00294",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "204246",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS",
"identifier": "35422",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Providence, 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.