Cranston Pediatric Dentistry PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DEN03342 Issued in RI

Legal business name

CRANSTON PEDIATRIC DENTISTRY PC

Practice address

67 Phenix Ave
Cranston, RI 02920-4233

Phone

(617) 818-0573

NPI assigned

Jun 6, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Athanasios Zavras, DDS, MS, DMSCNPI 1417152810

Title

President

Phone

(617) 818-0573

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Athanasios I. Zavras, DDS, MS, DRMSC

  • Pediatric Dentistry
  • New York, NY
  • NPI 1417152810
  NPD (past) Authorized official

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528243200000",
    "number": "1053803825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 PINE ST",
            "city": "DOVER",
            "state": "MA",
            "postal_code": "020302426",
            "telephone_number": "617-818-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 PHENIX AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029204233",
            "telephone_number": "617-818-0573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANSTON PEDIATRIC DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-06-06",
        "status": "A",
        "authorized_official_last_name": "ZAVRAS",
        "authorized_official_first_name": "ATHANASIOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-818-0573",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS, DMSC"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "RI",
            "license": "DEN03342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cranston Cosmetic Dentistry, Inc.
• Cranston Dental Associates, LLC
• Cranston East Medical Clinic
• Cranston Eye Associates Inc.
• Cranston Family and Cosmetic Dentistry
• Cranston Pediatrics LLC Dba Park Pediatrics Inc
• Cranston Public Schools
• Cranston Public Schools
• Michaela Margaret Crawley
• Create Balance, LLC

• Dental Clinic/Center in Cranston, RI
• Providers in Cranston, RI by specialty
• Dental Clinic/Center in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; 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.