MEDICARE: DR. JAMIESON JOSEPH DECUBELLIS D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DCP00387	RI
2	111N00000X	Chiropractor	2179	MA

General Provider Information

NPI Number	:	1487753133
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMIESON JOSEPH DECUBELLIS D.C.

Provider Business Mailing Address
First Line	:	30 CHAPEL VIEW BLVD STE 200
Second Line	:
City	:	CRANSTON
State	:	RI
Zip	:	02920-3096
Country	:	US
Telephone Number	:	401-561-4515
Fax Number	:

Provider Business Practice Location Address
First Line	:	30 CHAPEL VIEW BLVD STE 200
Second Line	:
City	:	CRANSTON
State	:	RI
Zip	:	02920-3096
Country	:	US
Telephone Number	:	401-561-4515
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	05/08/2026

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