Individual provider Active NPI

Ernesto Alfonso Piedra, D.D.S.

  • Dentist
  • Lincoln, RI
National Provider Identifier
1174571897
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN02128 Issued in RI
Practice address
12 Breakneck Hill Rd
Suite 101
Lincoln, RI 02865-3900
Phone
(401) 727-2460
Fax
(401) 726-8866
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN02128 RI Primary

Addresses

Primary practice location

12 Breakneck Hill Rd
Suite 101
Lincoln, RI 02865-3900

Mailing address

12 Breakneck Hill Rd
Suite 101
Lincoln, RI 02865-3900
Phone (401) 727-2460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DEN02128RIMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174571897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BREAKNECK HILL RD",
            "address_2": "SUITE 101",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028653900",
            "telephone_number": "401-727-2460",
            "fax_number": "401-726-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 BREAKNECK HILL RD",
            "address_2": "SUITE 101",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028653900",
            "telephone_number": "401-727-2460",
            "fax_number": "401-726-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIEDRA",
        "first_name": "ERNESTO",
        "middle_name": "ALFONSO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "RI",
            "license": "DEN02128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.