Provider Demographics
NPI:1922024272
Name:CAPUTO, EDWARD THOMAS (DC)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:THOMAS
Last Name:CAPUTO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1040 OAKLAWN AVE
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02920-2615
Mailing Address - Country:US
Mailing Address - Phone:401-944-2221
Mailing Address - Fax:401-944-2974
Practice Address - Street 1:1040 OAKLAWN AVE
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-2615
Practice Address - Country:US
Practice Address - Phone:401-944-2221
Practice Address - Fax:401-944-2974
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDC 325111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI4400128OtherUNITED HEALTH
RI400662OtherBLUE CHIP
RI9131-6OtherBC/BS
RIU34035Medicare UPIN