Active NPI
Robert B Trivett
- Adolescent Medicine (Family Medicine) Physician
- North Kingstown, RI
National Provider Identifier
1093991945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent Medicine (Family Medicine) Physician
- License
- RI4853
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent Medicine (Family Medicine) Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RT00205 | Medicaid | RI |
National Provider Directory
National Provider DirectoryLocations
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.