Individual provider Active NPI

Ian Scott Silversmith, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • N Kingstown, RI
National Provider Identifier
1356334239
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DEN02827 Issued in RI
Practice address
1130 Ten Rod Rd Ste A104
N Kingstown, RI 02852-4128
Phone
(401) 667-7079
NPI assigned
Aug 25, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DEN02827 RI Primary

Addresses

Primary practice location

1130 Ten Rod Rd Ste A104
N Kingstown, RI 02852-4128

Mailing address

1130 Ten Rod Rd Ste A104
N Kingstown, RI 02852-4128
Phone (401) 667-7079

Other identifiers 1

IdentifierTypeStateIssuer
110074354AMedicaidMA

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

LicenseStateTypeSpecialty
DEN02827RIMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Silversmith Orthodontics Inc Orthodontics and Dentofacial Orthopedics CurrentSince Oct 5, 2021 Accepting new patients

Locations

1130 Ten Rod Rd
Ste A104
North Kingstown, RI 02852
Phone (401) 667-7079

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1356334239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 TEN ROD RD STE A104",
            "city": "N KINGSTOWN",
            "state": "RI",
            "postal_code": "028524128",
            "telephone_number": "401-667-7079",
            "fax_number": "401-667-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 TEN ROD RD STE A104",
            "city": "N KINGSTOWN",
            "state": "RI",
            "postal_code": "028524128",
            "telephone_number": "401-667-7079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVERSMITH",
        "first_name": "IAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "RI",
            "license": "DEN02827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110074354A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in N Kingstown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.