Organization Active NPI

Harrisville Dental Associates PC

  • Dentist
  • Harrisville, RI
National Provider Identifier
1093063026
Registry record updated Aug 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
HARRISVILLE DENTAL ASSOCIATES PC
Practice address
262 Main St
Harrisville, RI 02830-1414
Phone
(401) 568-3008
NPI assigned
Aug 23, 2012
Last updated
Aug 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2012

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

Authorized official

Name
Dr. Eyad Salloum, D.M.D
Title
Dentist
Phone
(617) 462-8728

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X RI Primary

Addresses

Primary practice location

262 Main St
Harrisville, RI 02830-1414

Mailing address

262 Main St
Harrisville, RI 02830-1414
Phone (401) 568-3008

National Provider Directory

National Provider Directory

Locations

262 Harrisville Main St
Harrisville, RI 02830
Phone (401) 568-3008

Practitioners & affiliated clinicians

Practitioners 2

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": "1345680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345680000000",
    "number": "1093063026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 MAIN ST",
            "city": "HARRISVILLE",
            "state": "RI",
            "postal_code": "028301414",
            "telephone_number": "401-568-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 MAIN ST",
            "city": "HARRISVILLE",
            "state": "RI",
            "postal_code": "028301414",
            "telephone_number": "401-568-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISVILLE DENTAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-23",
        "last_updated": "2012-08-23",
        "status": "A",
        "authorized_official_last_name": "SALLOUM",
        "authorized_official_first_name": "EYAD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "617-462-8728",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "RI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisville, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; 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.