Active NPI
Northprovidencedentalassociates
- General Practice Dentistry
- North Providence, RI
National Provider Identifier
1174614705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- NORTHPROVIDENCEDENTALASSOCIATES
- Practice address
- 1635 Mineral Spring Ave
#201
North Providence, RI 02904-4025 - Phone
- (401) 353-0800
- Fax
- (401) 354-4240
- NPI assigned
- Sep 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peter A Macgillivray, DDS
- Title
- President
- Phone
- (401) 353-0800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1635 Mineral Spring Ave
#201
North Providence, RI 02904-4025
Mailing address
1635 Mineral Spring Ave
#201
North Providence, RI 02904-4025
Phone (401) 353-0800
National Provider Directory
National Provider DirectoryLocations
1635 Mineral Spring Ave
Ste 201
North Providence, RI 02904
Phone (401) 353-0800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1174614705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1635 MINERAL SPRING AVE",
"address_2": "#201",
"city": "NORTH PROVIDENCE",
"state": "RI",
"postal_code": "029044025",
"telephone_number": "401-353-0800",
"fax_number": "401-354-4240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1635 MINERAL SPRING AVE",
"address_2": "#201",
"city": "NORTH PROVIDENCE",
"state": "RI",
"postal_code": "029044025",
"telephone_number": "401-353-0800",
"fax_number": "401-354-4240"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHPROVIDENCEDENTALASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MACGILLIVRAY",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "401-353-0800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.