Organization Active NPI

Wilfredo L Sancianco DMD Inc

  • Preferred Provider Organization
  • Warwick, RI
National Provider Identifier
1104221738
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
02633 Issued in RI
Legal business name
WILFREDO L SANCIANCO DMD INC
Practice address
3411 W Shiore Rd
Warwick, RI 02886
Phone
(401) 737-7715
Fax
(401) 734-9580
NPI assigned
Oct 24, 2014
Organization subpart
Yes
Parent organization
WILFREDO L SANCIANCO DMD INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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

Authorized official

Name
Dr. Wilfredo Luaning Sancianco
Title
Owner/Dentist
Phone
(401) 737-7715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 02633 RI Primary

Addresses

Primary practice location

3411 W Shiore Rd
Warwick, RI 02886

Mailing address

3411 W Shore Rd
Warwick, RI 02886-7561
Phone (401) 737-7715

National Provider Directory

National Provider Directory
Tax ID family
Wilfredo L Sancianco DMD3 organizations share this tax ID, including this one
Part of
Wilfredo L Sancianco DMD

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1104221738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 W SHORE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028867561",
            "telephone_number": "401-737-7715",
            "fax_number": "401-734-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 W SHIORE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "02886",
            "telephone_number": "401-737-7715",
            "fax_number": "401-734-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILFREDO L SANCIANCO DMD INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILFREDO L SANCIANCO DMD INC",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "SANCIANCO",
        "authorized_official_first_name": "WILFREDO",
        "authorized_official_middle_name": "LUANING",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "401-737-7715",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "RI",
            "license": "02633",
            "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 Oct 24, 2014; 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.