Stephen J Puerini Jr., DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

RI2810 Issued in RI

Practice address

115 Budlong Rd
Cranston, RI 02920-6429

Phone

(401) 944-8100

NPI assigned

Dec 4, 2006

Sex

Male

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

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Stephen J Puerini DMD and Steven J Saccoccio DMD PC

  • General Practice Dentistry
  • Cranston, RI
  • NPI 1225241953
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460592000000",
    "number": "1063570133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 BUDLONG RD",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029206429",
            "telephone_number": "401-944-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BUDLONG RD",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029206429",
            "telephone_number": "401-944-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUERINI",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2016-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "RI2810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "7002477",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kira E Provost, RN, LCMT
• Matthew P Provost, MS,CCC-SLP
• Psychological Support Services
• Barbara E Puddicombe, OTR/L
• Albert Joseph Puerini Jr., M.D.
• Stephen J Puerini, DMD
• Jodi D Pukl, OD
• Taylor Puls
• Francis Santos Purugganan
• Rachel Michelle Putrus, MD

• General Practice Dentistry in Cranston, RI
• Providers in Cranston, 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 Apr 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.