Theodore G Drummond Jr., DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN02444 Issued in RI

Practice address

634 Main Street
Warren, RI 02885

Phone

(401) 245-5825

Fax

(401) 245-0936

NPI assigned

Apr 9, 2008

Last updated

Apr 9, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1255504411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 MAIN STREET",
            "city": "WARREN",
            "state": "RI",
            "postal_code": "02885",
            "telephone_number": "401-245-5825",
            "fax_number": "401-245-0936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 MAIN STREET",
            "city": "WARREN",
            "state": "RI",
            "postal_code": "02885",
            "telephone_number": "401-245-5825",
            "fax_number": "401-245-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUMMOND",
        "first_name": "THEODORE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "DEN02444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCRF",
            "identifier": "83861",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "14551",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "WD12167",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Austin Perry Davis
• Delekta Pharmacy Inc
• John Dolan
• Dominick Zangari, Jr., MD, Inc.
• Carol Dorros, M.D.
• Miriam E. Duvel, MA CCC-SLP
• East Bay Dental Associates, Inc.
• East Bay Educational Collaborative
• Julie D Edwards, PAC
• Jonathan Enright, DMD

• General Practice Dentistry in Warren, RI
• Providers in Warren, RI by specialty
• General Practice Dentistry in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.