Active NPI
Funsmiles, Inc
- Pediatric Dentistry
- Pawtucket, RI
National Provider Identifier
1184084378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DEN03218
- Legal business name
- FUNSMILES, INC
- Practice address
- 123 School St Ste 1
Pawtucket, RI 02860-4203 - Phone
- (401) 834-1200
- Fax
- (401) 834-1201
- NPI assigned
- Mar 1, 2016
- Last updated
- Mar 1, 2016
- 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. Sheila Lionheart Brijade, DDS,MS
- Title
- President
- Phone
- (401) 834-1200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DEN03218 | RI | Primary |
Addresses
Primary practice location
123 School St Ste 1
Pawtucket, RI 02860-4203
Mailing address
123 School St Ste 1
Pawtucket, RI 02860-4203
Phone (401) 834-1200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SB11948 | Medicaid | RI |
National Provider Directory
National Provider DirectoryLocations
123 School St
Ste 1
Pawtucket, RI 02860
Phone (401) 834-1200
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.
-
- Pediatric Dentistry
- Pawtucket, RI
- NPI 1194810143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456790400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1456790400000",
"number": "1184084378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 SCHOOL ST STE 1",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028604203",
"telephone_number": "401-834-1200",
"fax_number": "401-834-1201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 SCHOOL ST STE 1",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028604203",
"telephone_number": "401-834-1200",
"fax_number": "401-834-1201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FUNSMILES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-01",
"last_updated": "2016-03-01",
"status": "A",
"authorized_official_last_name": "BRIJADE",
"authorized_official_first_name": "SHEILA",
"authorized_official_middle_name": "LIONHEART",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "401-834-1200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS,MS"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "RI",
"license": "DEN03218",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SB11948",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.