NPIMap

Organization Active NPI

Paolucci Family Dentist

  • Dentist
  • Providence, RI
National Provider Identifier
1205936564
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D2160 Issued in RI
Legal business name
PAOLUCCI FAMILY DENTIST
Practice address
931 Smith St
Providence, RI 02908-2704
Phone
(401) 521-5528
Fax
(401) 521-5540
NPI assigned
Sep 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Anthony D Paolucci, DMDNPI 1275619900
Title
Dentist
Phone
(401) 521-5528

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D2160 RI Primary

Addresses

Primary practice location

931 Smith St
Providence, RI 02908-2704

Mailing address

931 Smith St
Providence, RI 02908-2704
Phone (401) 521-5528

National Provider Directory

National Provider Directory

Locations

931 Smith St
Providence, RI 02908
Phone (401) 521-5528

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1205936564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 SMITH ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029082704",
            "telephone_number": "401-521-5528",
            "fax_number": "401-521-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 SMITH ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029082704",
            "telephone_number": "401-521-5528",
            "fax_number": "401-521-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAOLUCCI FAMILY DENTIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "PAOLUCCI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "401-521-5528",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "RI",
            "license": "D2160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.