Active NPI
Plum Dental Ri, LLC
- Dental Clinic/Center
- East Greenwich, RI
National Provider Identifier
1295382398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- PLUM DENTAL RI, LLC
- Doing business as
- Angel Street Dental LLC
East Greenwich Family Dental, LLC - Practice address
- 880 Main St
East Greenwich, RI 02818-3113 - Phone
- (401) 884-5242
- NPI assigned
- Aug 22, 2019
- Organization subpart
- Yes
- Parent organization
- PLUM DENTAL RI, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Capalbo, DO
- Title
- Chief Dentist
- Phone
- (401) 741-7395
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
880 Main St
East Greenwich, RI 02818-3113
Mailing address
29 Updike Ave
North Kingstown, RI 02852-5728
Phone (860) 944-4149
Other practice location 1
425 Angell St
Providence, RI 02906-4403
Phone (401) 272-2331
Other names 2
- Angel Street Dental LLC
- East Greenwich Family Dental, LLC
National Provider Directory
National Provider Directory- Part of
- Plum Dental Ri LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- East Greenwich, RI
- NPI 1912011008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1570665600000",
"number": "1295382398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 UPDIKE AVE",
"city": "NORTH KINGSTOWN",
"state": "RI",
"postal_code": "028525728",
"telephone_number": "860-944-4149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 MAIN ST",
"city": "EAST GREENWICH",
"state": "RI",
"postal_code": "028183113",
"telephone_number": "401-884-5242"
}
],
"practiceLocations": [
{
"address_1": "425 Angell St",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029064403",
"country_code": "US",
"telephone_number": "401-272-2331",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PLUM DENTAL RI, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PLUM DENTAL RI, LLC",
"enumeration_date": "2019-08-22",
"last_updated": "2019-10-10",
"status": "A",
"authorized_official_last_name": "CAPALBO",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CHIEF DENTIST",
"authorized_official_telephone_number": "401-741-7395",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Angel Street Dental LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "East Greenwich Family Dental, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in East Greenwich, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.