Daniel Peter Decesare, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DEN01328 Issued in RI

Practice address

1740 Atwood Ave.
Johnston, RI 02919-3269

Phone

(401) 233-9800

Fax

(401) 233-9898

NPI assigned

May 7, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rhode Island Periodontics

  • Periodontics
  • Johnston, RI
  • NPI 1225908171
  NPD (past)

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247011200000",
    "number": "1124231253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 ATWOOD AVE.",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193269",
            "telephone_number": "401-233-9800",
            "fax_number": "401-233-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 ATWOOD AVE.",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193269",
            "telephone_number": "401-233-9800",
            "fax_number": "401-233-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECESARE",
        "first_name": "DANIEL",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2009-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "RI",
            "license": "DEN01328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Katharine Dancik, LCSW
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• Sumit K Das, M.D.
• Nikia Dasilva-Lopes, LCSW
• Maria Christina Dasilva, RPH
• Tyler Delaney
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• Stephanie Demello, NP
• Donna Jean Demoranville
• Dental Associates of Ri

• Periodontics in Johnston, RI
• Providers in Johnston, RI by specialty
• Periodontics in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; 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.