Healthcare Provider Details

I. General information

NPI: 1487753133
Provider Name (Legal Business Name): JAMIESON JOSEPH DECUBELLIS D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 CHAPEL VIEW BLVD STE 200
CRANSTON RI
02920-3096
US

IV. Provider business mailing address

30 CHAPEL VIEW BLVD STE 200
CRANSTON RI
02920-3096
US

V. Phone/Fax

Practice location:
  • Phone: 401-561-4515
  • Fax:
Mailing address:
  • Phone: 401-561-4515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDCP00387
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2179
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: