Organization Active NPI

David J. Disanto, M.D. Inc

  • Neurological Surgery Physician
  • East Providence, RI
National Provider Identifier
1194081463
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD05417 Issued in RI
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

Updated by the provider on Apr 11, 2012

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)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.