Active NPI
Northprovidencedentalassociates
- General Practice Dentistry
- North Providence, RI
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
- Last updated
- Aug 22, 2020
- 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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
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
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- General Practice Dentistry
- North Providence, RI
- NPI 1427128701
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.