NPIMap

Organization Active NPI

Dental Associates of Wakefield, Inc

  • General Practice Dentistry
  • Wakefield, RI
National Provider Identifier
1053465369
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
02574 Issued in RI
Legal business name
DENTAL ASSOCIATES OF WAKEFIELD, INC
Practice address
26 S County Commons Way
Unit 2
Wakefield, RI 02879-8239
Phone
(401) 789-9718
Fax
(401) 789-2525
NPI assigned
Jan 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Paul N Boscia, DMD
Title
Dentist
Phone
(401) 789-9718

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 02574 RI Primary

Addresses

Primary practice location

26 S County Commons Way
Unit 2
Wakefield, RI 02879-8239

Mailing address

26 S County Commons Way
Unit 2
Wakefield, RI 02879-8239
Phone (401) 789-9718

National Provider Directory

National Provider Directory
Tax ID family
Dental Assoc of Wakefield2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

26 South County Commons Way
Unit 2
Wakefield, RI 02879
Phone (401) 789-9718

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053465369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 S COUNTY COMMONS WAY",
            "address_2": "UNIT 2",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028798239",
            "telephone_number": "401-789-9718",
            "fax_number": "401-789-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 S COUNTY COMMONS WAY",
            "address_2": "UNIT 2",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028798239",
            "telephone_number": "401-789-9718",
            "fax_number": "401-789-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ASSOCIATES OF WAKEFIELD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOSCIA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "401-789-9718",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "02574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.