Active NPI
Dental Ri PC
- Dentist
- Cranston, RI
National Provider Identifier
1013532506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- DENTAL RI PC
- Practice address
- 1249 Oaklawn Ave
Cranston, RI 02920-2621 - Phone
- (401) 463-8000
- NPI assigned
- Jun 10, 2020
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Michael Robert Gallucci, DMD
- Title
- Dentist
- Phone
- (401) 533-3108
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Cranston, RI
- NPI 1023633823
National Provider Directory
National Provider DirectoryLocations
1249 Oaklawn Ave
Cranston, RI 02920
Phone (401) 463-3088
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary | ||
| Prosthodontics | 1223P0700X |
Addresses
NPPES NPI RegistryPrimary practice location
1249 Oaklawn Ave
Cranston, RI 02920-2621
Mailing address
5 Lovegreen LN
East Greenwich, RI 02818-1163
Phone (401) 533-3108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 10, 2020.
{
"created_epoch": "1591747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591747200000",
"number": "1013532506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 LOVEGREEN LN",
"city": "EAST GREENWICH",
"state": "RI",
"postal_code": "028181163",
"telephone_number": "401-533-3108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1249 OAKLAWN AVE",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029202621",
"telephone_number": "401-463-8000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTAL RI PC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-10",
"last_updated": "2020-06-10",
"certification_date": "2020-06-10",
"status": "A",
"authorized_official_last_name": "GALLUCCI",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "401-533-3108",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223P0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Prosthodontics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cranston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.