NPIMap

Organization Active NPI

Centerville Podiatry LLC

  • Sports Medicine Podiatrist
  • Warwick, RI
National Provider Identifier
1073634374
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine PodiatristTaxonomy code 213ES0000X
License
DPM00277 Issued in RI
Legal business name
CENTERVILLE PODIATRY LLC
Practice address
469 Centerville Rd
Suite 105
Warwick, RI 02886-4354
Phone
(401) 738-9200
Fax
(401) 738-9400
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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

Authorized official

Name
Christine Cabral
Title
Office Manager
Phone
(401) 738-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0000X DPM00277 RI Primary

Addresses

Primary practice location

469 Centerville Rd
Suite 105
Warwick, RI 02886-4354

Mailing address

469 Centerville Rd
Suite 105
Warwick, RI 02886-4354
Phone (401) 738-9200

National Provider Directory

National Provider Directory

Locations

469 Centerville Rd
Ste 105
Warwick, RI 02886
Phone (401) 738-9200

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1073634374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 CENTERVILLE RD",
            "address_2": "SUITE 105",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864354",
            "telephone_number": "401-738-9200",
            "fax_number": "401-738-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 CENTERVILLE RD",
            "address_2": "SUITE 105",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864354",
            "telephone_number": "401-738-9200",
            "fax_number": "401-738-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERVILLE PODIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "CABRAL",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "401-738-9200"
    },
    "taxonomies": [
        {
            "code": "213ES0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Sports Medicine",
            "state": "RI",
            "license": "DPM00277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; 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.