Organization Active NPI

Viva Medical PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Cranston, RI
National Provider Identifier
1083575674
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
VIVA MEDICAL PC
Practice address
1125 Pontiac Ave
Cranston, RI 02920-7919
Phone
(401) 206-4001
NPI assigned
Nov 21, 2025
Last updated
Nov 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Authorized official

Name
Dr. Frank Dequattro, DMDNPI 1366441388
Title
Orthodontist
Phone
(401) 206-4001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

1125 Pontiac Ave
Cranston, RI 02920-7919

Mailing address

1125 Pontiac Ave
Cranston, RI 02920-7919
Phone (401) 206-4001

National Provider Directory

National Provider Directory

Locations

1125 Pontiac Ave
Cranston, RI 02920
Phone (401) 206-4001

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1763683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1083575674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 PONTIAC AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029207919",
            "telephone_number": "401-206-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 PONTIAC AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029207919",
            "telephone_number": "401-206-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVA MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-21",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "DEQUATTRO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "401-206-4001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.