Christopher Jameson Widdifield, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

ETL02636 Issued in RI

Practice address

24 Salt Pond Rd Ste D1
South Kingstown, RI 02879-4334

Phone

(401) 783-1530

NPI assigned

Sep 11, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1023623576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 BUCKS TRL",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028914085",
            "telephone_number": "401-569-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 SALT POND RD STE D1",
            "city": "SOUTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028794334",
            "telephone_number": "401-783-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDDIFIELD",
        "first_name": "CHRISTOPHER",
        "middle_name": "JAMESON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-11",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "ETL02636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Scott Trazi, PMHNP-BC
• Untamed Health
• Jessica G Veroline, LICSW
• Brittnie West
• Diane Whipple, PH.D.
• Daniela Monica Zbona, PHD
• Paul Zerbinopoulos, OD
• Joy Fiorenzano Ziegler, MD

• General Practice Dentistry in South Kingstown, RI
• Providers in South Kingstown, RI by specialty
• General Practice Dentistry in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.