NPIMap

Organization Active NPI

Zumstein Family Dentistry, LLC

  • General Practice Dentistry
  • Providence, RI
National Provider Identifier
1104234350
Registry record updated Jul 31, 2014
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2876 Issued in RI
Legal business name
ZUMSTEIN FAMILY DENTISTRY, LLC
Practice address
159 Governor St
Providence, RI 02906-3062
Phone
(401) 274-1140
NPI assigned
Jul 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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

Authorized official

Name
Dr. Justin Zumstein
Title
D.D.S
Phone
(401) 274-1140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2876 RI Primary

Addresses

Primary practice location

159 Governor St
Providence, RI 02906-3062

Mailing address

159 Governor St
Providence, RI 02906-3062

National Provider Directory

National Provider Directory
Tax ID family
Zumstein Family Dentistry LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

159 Governor St
Providence, RI 02906
Phone (401) 274-1140

NPI Registry JSON

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1104234350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 GOVERNOR ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029063062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 GOVERNOR ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029063062",
            "telephone_number": "401-274-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZUMSTEIN FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-31",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "ZUMSTEIN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "D.D.S",
        "authorized_official_telephone_number": "401-274-1140",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "2876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.