Active NPI
Anthony Michael Santare III, D.D.S.
- General Practice Dentistry
- Cumberland, RI
National Provider Identifier
1033236807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2129
- Practice address
- 2300 Diamond Hill Rd
Cumberland, RI 02864-4728 - Phone
- (401) 334-4436
- NPI assigned
- Mar 24, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2129 | RI | Primary |
Addresses
Primary practice location
2300 Diamond Hill Rd
Cumberland, RI 02864-4728
Mailing address
35 Lonesome Pine Rd
Cumberland, RI 02864-4723
Phone (401) 334-4436
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AS12041 | Medicaid | RI | |
| 2129 | Other | RI | RI DELTA PROVIDER # |
| 40-00292 | Other | RI | UHP PROVIDER # |
| XROLLO | Other | RI | BC OF MASS PROVIDER |
| 8192-4 | Other | RI | BC OF RI NPROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2129 | RI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033236807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 LONESOME PINE RD",
"city": "CUMBERLAND",
"state": "RI",
"postal_code": "028644723",
"telephone_number": "401-334-4436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 DIAMOND HILL RD",
"city": "CUMBERLAND",
"state": "RI",
"postal_code": "028644728",
"telephone_number": "401-334-4436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTARE",
"first_name": "ANTHONY",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "RI",
"license": "2129",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AS12041",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RI DELTA PROVIDER #",
"identifier": "2129",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHP PROVIDER #",
"identifier": "40-00292",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC OF MASS PROVIDER",
"identifier": "XROLLO",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC OF RI NPROVIDER #",
"identifier": "8192-4",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cumberland, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.