City Dental of Woonsocket, LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

CITY DENTAL OF WOONSOCKET, LLC

Practice address

515 Social St
Woonsocket, RI 02895-2043

Phone

(401) 597-5920

NPI assigned

Apr 26, 2010

Last updated

Apr 26, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

CITY DENTAL, LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Josephine Roca, BA

Title

Office Manager

Phone

(401) 597-5920

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• city dental of woonsocket, llc Former legal business name

Part of

City Dental LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• City Dental, LLC

  • Periodontics
  • Providence, RI
  • NPI 1477736452
  NPPES parent name

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272240000000",
    "number": "1265759567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 SOCIAL ST",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028952043",
            "telephone_number": "401-597-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 SOCIAL ST",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028952043",
            "telephone_number": "401-597-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY DENTAL OF WOONSOCKET, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY DENTAL, LLC",
        "enumeration_date": "2010-04-26",
        "last_updated": "2010-04-26",
        "status": "A",
        "authorized_official_last_name": "ROCA",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "401-597-5920",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP INDIVIDUAL",
            "identifier": "1548321235",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "city dental of woonsocket, llc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kyle Choquette, BA
• Sapna Chowdhry, MD
• Carol L Christel
• Jules Chyten-Brennan
• Marina Chyten, CNM
• City of Woonsocket (Woonsocket Fire Department)
• Markia Clanton, LPN
• Bethia Clark
• James J Cloutier, D.P.M.
• Emily Cochran, PHD, RN

• Periodontics in Woonsocket, RI
• Providers in Woonsocket, RI by specialty
• Periodontics in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; 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.