Jamie Michele Italiane-Decubellis, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

02807 Issued in RI

Practice address

325 S Main St
Coventry, RI 02816-5911

Phone

(401) 828-7070

Fax

(401) 828-7125

NPI assigned

Dec 16, 2005

Last updated

Dec 15, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jamie Italiane-Decubellis DDS and Assoc. Inc

  • Dentist
  • Coventry, RI
  • NPI 1336398502
  NPD (past)

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229299200000",
    "number": "1063498525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 S MAIN ST",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028165911",
            "telephone_number": "401-828-7070",
            "fax_number": "401-828-7125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 S MAIN ST",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028165911",
            "telephone_number": "401-828-7070",
            "fax_number": "401-828-7125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITALIANE-DECUBELLIS",
        "first_name": "JAMIE",
        "middle_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-16",
        "last_updated": "2008-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "02807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL ID",
            "identifier": "202020448",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hayley Houghton, COTA
• Jennifer Houle
• Lori A Houle, COTA/L
• Linda Hunnicutt, LMT
• Karen A. Hynes, LMT
• Ellen I Jaedicke, LMT, NCTMB, AA
• Jamie Italiane-Decubellis DDS and Assoc. Inc
• Jacques Ira Jewell, LCSW
• Joanne C. Lewis Pediatric Dentistry, LLC (Children's Dentistry of Coventry)
• Kristin Jollie, M.A.

• General Practice Dentistry in Coventry, RI
• Providers in Coventry, 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 Dec 15, 2008; 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.