Sean T. Patrick, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN03195 Issued in RI

Practice address

24 Salt Pond Rd
Ste F1
Wakefield, RI 02879-4335

Phone

(401) 788-8820

Fax

(401) 788-9048

NPI assigned

Jul 1, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1265743538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 SALT POND RD",
            "address_2": "STE F1",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794335",
            "telephone_number": "401-788-8820",
            "fax_number": "401-788-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 SALT POND RD",
            "address_2": "STE F1",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028794335",
            "telephone_number": "401-788-8820",
            "fax_number": "401-788-9048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "SEAN",
        "middle_name": "T.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-01",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "DEN03195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008031042",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Cecelia Pannone, LCSW
• Eleni T Pappas, DPM
• Kathleen Mary Rafuse Parnell, PH.D.
• Priya Patel, MD
• Vimal S. Patel
• Tyler Pearson
• Pelton Family Chiropractic Center, Inc.
• Christine Lynn Pelton, D.C.
• Kevin Jay Pelton, D.C.
• Kristin Pepe, OTR/L

• General Practice Dentistry in Wakefield, RI
• Providers in Wakefield, 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 Dec 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.