Organization Active NPI

Angell Street Dental Associates, Inc

  • Dental Clinic/Center
  • Providence, RI
National Provider Identifier
1013173277
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
RI2044 Issued in RI
Legal business name
ANGELL STREET DENTAL ASSOCIATES, INC
Practice address
425 Angell St
Providence, RI 02906-4403
Phone
(401) 272-2331
Fax
(401) 272-2361
NPI assigned
Aug 6, 2008
Last updated
Aug 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Charles Michael Riotto, D.M.D.NPI 1811939481
Title
President
Phone
(401) 272-2331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X RI2044 RI Primary

Addresses

Primary practice location

425 Angell St
Providence, RI 02906-4403

Mailing address

425 Angell St
Providence, RI 02906-4403
Phone (401) 272-2331

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1013173277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 ANGELL ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064403",
            "telephone_number": "401-272-2331",
            "fax_number": "401-272-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 ANGELL ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064403",
            "telephone_number": "401-272-2331",
            "fax_number": "401-272-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELL STREET DENTAL ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-06",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "RIOTTO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-272-2331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "RI",
            "license": "RI2044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.