Individual provider Active NPI

Richard Dana Walsh, D.D.S.

  • Dentist
  • Charlestown, RI
National Provider Identifier
1245202316
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2225 Issued in RI
Practice address
4995 S County TRL
Charlestown, RI 02813-3182
Phone
(401) 364-6300
Fax
(401) 364-9190
NPI assigned
Feb 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2225 RI Primary

Addresses

Primary practice location

4995 S County TRL
Charlestown, RI 02813-3182

Mailing address

4995 S County TRL
Charlestown, RI 02813-3182
Phone (401) 364-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150402000294 RI Order and Referring Only - DentistPractitioner - Dentist 7113244039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2225RIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Arrowhead Dental Association Past Accepting new patients
Arrowhead Dental Associates Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1245202316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4995 S COUNTY TRL",
            "city": "CHARLESTOWN",
            "state": "RI",
            "postal_code": "028133182",
            "telephone_number": "401-364-6300",
            "fax_number": "401-364-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4995 S COUNTY TRL",
            "city": "CHARLESTOWN",
            "state": "RI",
            "postal_code": "028133182",
            "telephone_number": "401-364-6300",
            "fax_number": "401-364-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "RICHARD",
        "middle_name": "DANA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "RI",
            "license": "2225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlestown, RI

Sources for this page

Verify at the official NPI Registry.