Organization Active NPI

Robert B Trivett

  • Adolescent Medicine (Family Medicine) Physician
  • North Kingstown, RI
National Provider Identifier
1093991945
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Family Medicine) PhysicianTaxonomy code 207QA0000X
License
RI4853 Issued in RI
Legal business name
ROBERT B TRIVETT
Practice address
35 Weaver Rd
North Kingstown, RI 02852-7135
Phone
(401) 295-9719
Fax
(401) 295-0150
NPI assigned
Jan 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Authorized official

Name
Dr. Robert Bowen Trivett, MD
Title
Sole Proprietier
Phone
(401) 295-9719

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0000X RI4853 RI Primary

Addresses

Primary practice location

35 Weaver Rd
North Kingstown, RI 02852-7135

Mailing address

35 Weaver Rd
North Kingstown, RI 02852-7135
Phone (401) 295-9719

Other identifiers 1

IdentifierTypeStateIssuer
RT00205MedicaidRI

National Provider Directory

National Provider Directory

Locations

35 Weaver Rd
North Kingstown, RI 02852
Phone (401) 295-9719

NPI Registry JSON

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1093991945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 WEAVER RD",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028527135",
            "telephone_number": "401-295-9719",
            "fax_number": "401-295-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 WEAVER RD",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028527135",
            "telephone_number": "401-295-9719",
            "fax_number": "401-295-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT B TRIVETT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "TRIVETT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BOWEN",
        "authorized_official_title_or_position": "SOLE PROPRIETIER",
        "authorized_official_telephone_number": "401-295-9719",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "RI",
            "license": "RI4853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RT00205",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kingstown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.