Active NPI
Kings Grant Chiropractic LLC
- Chiropractor
- Portsmouth, RI
National Provider Identifier
1942970181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- KINGS GRANT CHIROPRACTIC LLC
- Practice address
- 11 King Charles Dr
Portsmouth, RI 02871-1446 - Phone
- (401) 683-1941
- NPI assigned
- Sep 19, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gudrun M Thunman, DC
- Title
- Owner
- Phone
- (401) 683-1941
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
11 King Charles Dr
Portsmouth, RI 02871-1446
Mailing address
11 King Charles Dr
Portsmouth, RI 02871-1446
Phone (401) 683-1941
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sfowler@nemb.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Middletown, RI
- NPI 1083123079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632009600000",
"number": "1942970181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 KING CHARLES DR",
"city": "PORTSMOUTH",
"state": "RI",
"postal_code": "028711446",
"telephone_number": "401-683-1941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 KING CHARLES DR",
"city": "PORTSMOUTH",
"state": "RI",
"postal_code": "028711446",
"telephone_number": "401-683-1941"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINGS GRANT CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-19",
"last_updated": "2021-09-19",
"certification_date": "2021-09-19",
"status": "A",
"authorized_official_last_name": "THUNMAN",
"authorized_official_first_name": "GUDRUN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "401-683-1941",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sfowler@nemb.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "11 King Charles Dr",
"city": "Portsmouth",
"state": "RI",
"country_code": "US",
"postal_code": "028711446",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Portsmouth, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.