Jaimini A Desai, DMD – Dentist in Cranston, RI

Key facts

NPI: 1285773259
Entity type: Individual (NPI type 1)
Primary specialty: Dentist 122300000X
License: DEN2515 (RI)
Practice address: 865 Reservoir Ave
Cranston, RI 02910-4433
Phone: (401) 941-2141
Fax: (401) 942-3233
NPI assigned: Feb 6, 2007
Sex: Female
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
DEN2515	RI	MD	Dentist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Dentist	122300000X	DEN2515	RI	Yes

Addresses

Primary practice location

865 Reservoir Ave
Cranston, RI 02910-4433

Mailing address

865 Reservoir Ave
Cranston, RI 02910-4433
Phone (401) 941-2141

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285773259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 RESERVOIR AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104433",
            "telephone_number": "401-941-2141",
            "fax_number": "401-942-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 RESERVOIR AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029104433",
            "telephone_number": "401-941-2141",
            "fax_number": "401-942-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "JAIMINI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "RI",
            "license": "DEN2515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

All providers in Cranston, RI · Dentist in Rhode Island

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.