Active NPI
Hugh E O'Donnell, DDS
- General Practice Dentistry
- Middletown, RI
National Provider Identifier
1043393747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1381
- Practice address
- 333 Valley Rd
Middletown, RI 02842-7230 - Phone
- (401) 847-3450
- Fax
- (401) 847-3485
- NPI assigned
- Oct 24, 2006
- 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 | 1381 | RI | Primary |
Addresses
Primary practice location
333 Valley Rd
Middletown, RI 02842-7230
Mailing address
333 Valley Rd
Middletown, RI 02842-7230
Phone (401) 847-3450
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8968-5 | Other | RI | BLUE CROSS # |
| 1381 | Other | RI | DELTA DENTAL OF RI |
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 |
|---|---|---|---|
| 1381 | RI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043393747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 VALLEY RD",
"city": "MIDDLETOWN",
"state": "RI",
"postal_code": "028427230",
"telephone_number": "401-847-3450",
"fax_number": "401-847-3485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 VALLEY RD",
"city": "MIDDLETOWN",
"state": "RI",
"postal_code": "028427230",
"telephone_number": "401-847-3450",
"fax_number": "401-847-3485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'DONNELL",
"first_name": "HUGH",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "RI",
"license": "1381",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS #",
"identifier": "8968-5",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL OF RI",
"identifier": "1381",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
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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.