Provider Demographics
NPI:1790855476
Name:ARAGAO, DAVID JASON (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:JASON
Last Name:ARAGAO
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 1:263 LITTLE POND COUNTY RD
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:RI
Mailing Address - Zip Code:02864-2800
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:655 MENDON RD
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:RI
Practice Address - Zip Code:02864-6222
Practice Address - Country:US
Practice Address - Phone:401-333-0680
Practice Address - Fax:401-333-2560
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDCP00333111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI2764OtherNEIGHBORHOOD HEALTH
RI400800OtherBLUECHIP
RI29908-2OtherBLUE CROSS BLUE SHIELD
RI5851160OtherAETNA
RI720065901OtherCIGNA
RI003330OtherTUFTS
RI44-00469OtherUNITED HEALTH
RI44-00469OtherUNITED HEALTH
RI5851160OtherAETNA