Active NPIIndividual providerSole proprietor

Dr. Gregg A Medeiros, DC

Chiropractor, Independent Medical Examiner in Providence, Rhode Island

NPI Number1568545580
Practice location
1196 Elmwood Ave, Providence, RI 02907-3716
Fax
401-461-3500
Last updated
May 23, 2012

Gregg Allen Medeiros is a Chiropractor, Independent Medical Examiner based in Providence, RI. Gregg Allen Medeiros practices in Providence, RI and has the professional credentials of DC. The NPI Number for Gregg Allen Medeiros is 1568545580 and holds a License No. DCP00545 (RI). The current practice location address for Gregg Allen Medeiros is 1196 Elmwood Ave, Providence, RI 02907-3716 and can be reached out via phone at 401-461-1600 and via fax at 401-461-3500.

Provider Profile Details

NPI Number
1568545580
Provider Name
Gregg Allen Medeiros
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1196 Elmwood Ave, Providence, RI 02907-3716
Phone Number
401-461-1600
Fax Number
401-461-3500
Primary Taxonomy
Chiropractor, Independent Medical Examiner · 111NI0013X
Sole Proprietor
Yes
Provider Enumeration Date
October 23, 2006
Last Update Date
May 23, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
1196 Elmwood Ave
Providence, RI 02907-3716
Zip
02907-3716
Phone Number
401-461-1600
Fax Number
401-461-3500
Providence, RI 02907Get directions →

Provider Business Mailing Address Details

Address
43 Mountain Ave
Riverside, RI 02915-5015
City
Riverside
State
RI
Zip
02915-5015
Phone Number
401-440-4228

License Information

License Number (1)
DCP00545
License State (1)
RI
Taxonomy (1)
Chiropractor · 111N00000X
License Number (2)
DCP00545
License State (2)
RI
Taxonomy (2)
Chiropractor, Independent Medical Examiner · 111NI0013X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Gregg A Medeiros, DC?

The NPI number of Dr. Gregg A Medeiros, DC is 1568545580. It was assigned on October 23, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Gregg A Medeiros, DC?

Dr. Gregg A Medeiros, DC is registered under the primary taxonomy Chiropractor, Independent Medical Examiner (code 111NI0013X), licensed in RI under license number DCP00545.

Where does Dr. Gregg A Medeiros, DC practice?

The practice location is 1196 Elmwood Ave, Providence, RI 02907-3716. The office can be reached at 401-461-1600 (phone) or 401-461-3500 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1568545580 directly on the NPPES registry website.

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