| Name: | Pelton Family Chiropractic Center, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 27 Apr 1993 (32 years ago) |
| Identification Number: | 000072323 |
| ZIP code: | 02879 |
| County: | Washington County |
| Principal Address: | 730 KINGSTOWN ROAD SUITE 3, WAKEFIELD, RI, 02879, USA |
| Purpose: | CHIROPRACTIC MEDICINE |
NAICS
621310 Offices of ChiropractorsThis industry comprises establishments of health practitioners having the degree of D.C. (Doctor of Chiropractic) primarily engaged in the independent practice of chiropractic. These practitioners provide diagnostic and therapeutic treatment of neuromusculoskeletal and related disorders through the manipulation and adjustment of the spinal column and extremities, and operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1740361419 | 2006-10-18 | 2020-08-22 | 730 KINGSTOWN RD STE 3, WAKEFIELD, RI, 028793002, US | 730 KINGSTOWN RD STE 3, WAKEFIELD, RI, 028793002, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 401-782-8380 |
| Fax | 4017823650 |
Authorized person
| Name | DR. CHRISTINE LYNN PELTON |
| Role | VICE PRESIDENT |
| Phone | 4017828380 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | DC323 |
| State | RI |
| Is Primary | Yes |
| Taxonomy Code | 111N00000X - Chiropractor |
| License Number | DC332 |
| State | RI |
| Is Primary | No |
Other Provider Identifiers
| Issuer | UHC -DR. CHRISTINE PELTON |
| Number | 44-00020 |
| State | RI |
| Issuer | UHC -DR. KEVIN PELTON |
| Number | 44-00023 |
| State | RI |
| Issuer | BLUE CROSS BLUE SHIELD RI |
| Number | 9145-5 |
| State | RI |
| Issuer | MEDICAID |
| Number | 000323 |
| State | RI |
| Issuer | MEDICAID |
| Number | 000332 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| KEVIN J. PELTON | Agent | 730 KINGSTOWN ROAD SUITE 3, WAKEFIELD, RI, 02879, USA |
| Name | Role | Address |
|---|---|---|
| KEVIN J PELTON | PRESIDENT | 380A POST ROAD WAKEFIELD, RI 02879 USA |
| Name | Role | Address |
|---|---|---|
| CHRISTINE L PELTON | VICE PRESIDENT | 380A POST ROAD WAKEFIELD, RI 02879 USA |
| Number | Name | File Date |
|---|---|---|
| 202455126740 | Annual Report | 2024-05-31 |
| 202332879150 | Annual Report | 2023-04-12 |
| 202215535960 | Annual Report | 2022-04-18 |
| 202193510290 | Annual Report | 2021-03-01 |
| 202034957570 | Annual Report | 2020-02-24 |
| 201986418870 | Annual Report | 2019-02-11 |
| 201859550540 | Annual Report | 2018-02-28 |
| 201735096210 | Annual Report | 2017-02-27 |
| 201693439760 | Annual Report | 2016-02-29 |
| 201556122950 | Annual Report | 2015-03-02 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8303017208 | 2020-04-28 | 0165 | PPP | 730 KINGSTOWN RD, WAKEFIELD, RI, 02879-3011 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 08 Apr 2025
Sources: Rhode Island Department of State
