Anthony J. Tilelli DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

1731 Issued in RI

Legal business name

ANTHONY J. TILELLI DDS

Practice address

336 Cowesett Ave
West Warwick, RI 02893-2222

Phone

(401) 828-2400

Fax

(401) 828-0051

NPI assigned

Aug 29, 2013

Last updated

Aug 29, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anthony J Tilelli, DDSNPI 1164490553

Title

Owner

Phone

(401) 828-2400

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anthony J Tilelli, DDS

  • Pediatric Dentistry
  • West Warwick, RI
  • NPI 1164490553
  NPD (past) Authorized official

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377734400000",
    "number": "1346674066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 COWESETT AVE",
            "city": "WEST WARWICK",
            "state": "RI",
            "postal_code": "028932222",
            "telephone_number": "401-828-2400",
            "fax_number": "401-828-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 COWESETT AVE",
            "city": "WEST WARWICK",
            "state": "RI",
            "postal_code": "028932222",
            "telephone_number": "401-828-2400",
            "fax_number": "401-828-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY J. TILELLI DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A",
        "authorized_official_last_name": "TILELLI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-828-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "RI",
            "license": "3116",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "RI",
            "license": "1731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AT02637",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS DENTAL",
            "identifier": "8435-4",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly E Albro, FNP-BC
• Lexsey Almeida, LMHC
• Andrew Gazerro III, DMD, PC, Inc.
• Andrew T. Crellin, D.C., R.P.T. (Cowesett Chiropractic)
• Margaret Q Andruchow, MS, APRN-BC
• Nicola Vincent Apici, LCSW
• Albert R Arcand, DMD
• Ashlee A Austin, LICSW
• Avatar Residential Inc.
• Az Medical Transport LLC

• Pediatric Dentistry in West Warwick, RI
• Providers in West Warwick, RI by specialty
• Pediatric Dentistry in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.