Individual provider Active NPI

Edward Thomas Caputo, D.C.

  • Chiropractor
  • Cranston, RI
National Provider Identifier
1922024272
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 325 Issued in RI
Practice address
1040 Oaklawn Ave
Cranston, RI 02920-2615
Phone
(401) 944-2221
Fax
(401) 944-2974
NPI assigned
Jul 13, 2006
Last updated
Jul 11, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 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 DC 325 RI Primary

Addresses

Primary practice location

1040 Oaklawn Ave
Cranston, RI 02920-2615

Mailing address

1040 Oaklawn Ave
Cranston, RI 02920-2615
Phone (401) 944-2221

Other identifiers 3

IdentifierTypeStateIssuer
4400128OtherRIUNITED HEALTH
400662OtherRIBLUE CHIP
9131-6OtherRIBC/BS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050207000003 RI Practitioner - Chiropractic 0941251094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caputo Chiropractic IncGroup PAC ID 5294786273, 2 clinicians

Practice addresses (Care Compare)

1040 Oaklawn Ave
Cranston, RI 02920-2615
Phone (401) 944-2221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC 325RIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Caputo Chiropractic Inc Chiropractor CurrentSince Jan 31, 2005 Accepting new patients

Locations

1040 Oaklawn Ave
Cranston, RI 02920
Phone (401) 944-2221

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1922024272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 OAKLAWN AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029202615",
            "telephone_number": "401-944-2221",
            "fax_number": "401-944-2974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 OAKLAWN AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029202615",
            "telephone_number": "401-944-2221",
            "fax_number": "401-944-2974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPUTO",
        "first_name": "EDWARD",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DC 325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH",
            "identifier": "4400128",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "400662",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "9131-6",
            "state": "RI"
        }
    ],
    "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 Jul 11, 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.