Active NPI
David J. Disanto, M.D. Inc
- Neurological Surgery Physician
- East Providence, RI
National Provider Identifier
1194081463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- MD05417
- Legal business name
- DAVID J. DISANTO, M.D. INC
- Practice address
- 2464 Pawtucket Ave
East Providence, RI 02914-3218 - Phone
- (401) 431-0226
- Fax
- (401) 434-3166
- NPI assigned
- Apr 11, 2012
- 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
- David J Disanto, M.D.
- Title
- Owner
- Phone
- (401) 431-0226
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | MD05417 | RI | Primary |
Addresses
Primary practice location
2464 Pawtucket Ave
East Providence, RI 02914-3218
Mailing address
2464 Pawtucket Ave
East Providence, RI 02914-3218
Phone (401) 431-0226
National Provider Directory
National Provider DirectoryLocations
2464 Pawtucket Ave
East Providence, RI 02914
Phone (401) 341-0226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1334102400000",
"number": "1194081463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2464 PAWTUCKET AVE",
"city": "EAST PROVIDENCE",
"state": "RI",
"postal_code": "029143218",
"telephone_number": "401-431-0226",
"fax_number": "401-434-3166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2464 PAWTUCKET AVE",
"city": "EAST PROVIDENCE",
"state": "RI",
"postal_code": "029143218",
"telephone_number": "401-431-0226",
"fax_number": "401-434-3166"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID J. DISANTO, M.D. INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-11",
"last_updated": "2012-04-11",
"status": "A",
"authorized_official_last_name": "DISANTO",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "401-431-0226",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": "RI",
"license": "MD05417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.