Active NPI
John J Darby, DDS
- Dentist
- Riverside, RI
National Provider Identifier
1285643122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN01797
- Practice address
- 250 Wampanoag TRL
Suite 103
Riverside, RI 02915-2218 - Phone
- (401) 434-4413
- Fax
- (401) 434-1187
- NPI assigned
- Aug 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN01797 | RI | Primary |
Addresses
Primary practice location
250 Wampanoag TRL
Suite 103
Riverside, RI 02915-2218
Mailing address
PO Box 7895
Cumberland, RI 02864-0899
Phone (401) 434-4413
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN01797 | RI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Smiles Theodore I Goldberg, DMD PC & Associates | Dentist | Past | Accepting new patients |
| Advanced Dentistry of Rhode Island LLC | 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.
-
- Dental Clinic/Center
- Riverside, RI
- NPI 1467925529
-
- Dentist
- Riverside, RI
- NPI 1568833408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285643122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7895",
"city": "CUMBERLAND",
"state": "RI",
"postal_code": "028640899",
"telephone_number": "401-434-4413",
"fax_number": "401-434-1187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 WAMPANOAG TRL",
"address_2": "SUITE 103",
"city": "RIVERSIDE",
"state": "RI",
"postal_code": "029152218",
"telephone_number": "401-434-4413",
"fax_number": "401-434-1187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARBY",
"first_name": "JOHN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "RI",
"license": "DEN01797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.