Organization Active NPI

City of Providence Rhode Island

  • Local Education Agency (LEA)
  • Providence, RI
National Provider Identifier
1366570384
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
CITY OF PROVIDENCE RHODE ISLAND
Practice address
797 Westminster St
Providence, RI 02903-4018
Phone
(401) 456-9100
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Mark V Dunham
Title
Chief Financial Officer
Phone
(401) 456-9435

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X RI Primary

Addresses

Primary practice location

797 Westminster St
Providence, RI 02903-4018

Mailing address

797 Westminster St
Providence, RI 02903-4018
Phone (401) 456-9100

Other identifiers 1

IdentifierTypeStateIssuer
PD00198MedicaidRI

National Provider Directory

National Provider Directory
Tax ID family
City of Providence Rhode Island3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

797 Westminster St
Providence, RI 02903
Phone (401) 218-0816

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1366570384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "797 WESTMINSTER ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034018",
            "telephone_number": "401-456-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "797 WESTMINSTER ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034018",
            "telephone_number": "401-456-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF PROVIDENCE RHODE ISLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DUNHAM",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "401-456-9435",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "RI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PD00198",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.