Middletown Family Dental, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2931 Issued in RI

Legal business name

MIDDLETOWN FAMILY DENTAL, LLC

Practice address

770 Aquidneck Ave
Middletown, RI 02842-7246

Phone

(401) 847-2094

NPI assigned

Mar 12, 2018

Last updated

Mar 12, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Capalbo, DO

Title

Chief Dentist

Phone

(860) 944-4149

Specialties & licenses 3

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexandra Reilly, DMD

  • General Practice Dentistry
  • Warren, RI
  • NPI 1013317056
  NPD (past)
• Leonard Carl Taddei Jr., DMD

  • General Practice Dentistry
  • Middletown, RI
  • NPI 1124180492
  NPD (past)

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520812800000",
    "number": "1174026587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 UPDIKE AVE",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028525728",
            "telephone_number": "860-944-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 AQUIDNECK AVE",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028427246",
            "telephone_number": "401-847-2094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLETOWN FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-03-12",
        "status": "A",
        "authorized_official_last_name": "CAPALBO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF DENTIST",
        "authorized_official_telephone_number": "860-944-4149",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "RI",
            "license": "2931",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": "1073658258",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "RI",
            "license": "1073658258",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Patrick Merchant, RN
• Shannnon Mercier, RN
• Jason Michaels, MD
• Erica Lynn Michalek, RN
• Taryn Micheletti, RN
• Middletown Nursing and Rehab LLC
• Middletown Opco LLC (Royal Nursing Center, LLC)
• Milestone Dental Care, Inc.
• Julie Ann Miller, LICSW
• Mindful LLC

• Dental Clinic/Center in Middletown, RI
• Providers in Middletown, RI by specialty
• Dental Clinic/Center in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; 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.