Active NPI
Myorthos Rhode Island Orthodontics PC
Doing business as DeQuattro Orthodontics
- Orthodontics and Dentofacial Orthopedics Dentistry
- Wakefield, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- MYORTHOS RHODE ISLAND ORTHODONTICS PC
- Doing business as
- DeQuattro Orthodontics
- Practice address
- 24 Salt Pond Rd Ste C1
Wakefield, RI 02879-4304 - Phone
- (401) 783-9890
- NPI assigned
- Jun 13, 2024
- Last updated
- Nov 20, 2024
- Organization subpart
- Yes
- Parent organization
- MYORTHOS RHODE ISLAND ORTHODONTICS PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Casey Lonabocker
- Title
- VP Operations & Strategy
- Phone
- (617) 535-3364
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | Primary |
Addresses
Primary practice location
24 Salt Pond Rd Ste C1
Wakefield, RI 02879-4304
Mailing address
131 Dartmouth St FL 3
Boston, MA 02116-5297
Phone (617) 665-7241
Other practice location 1
39 East Ave
Westerly, RI 02891-3113
Phone (401) 596-2264
Other names 1
- DeQuattro Orthodontics
National Provider Directory
National Provider Directory- Tax ID family
- Myorthos Rhode Island Orthodontics PC
- Part of
- Myorthos Rhode Island Orthodontics PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Boston, MA
- NPI 1225891641
Locations
24 Salt Pond Rd
Ste C1
Wakefield, RI 02879
Phone (401) 783-9890
39 East Ave
Westerly, RI 02891
Phone (401) 596-2264
Practitioners & affiliated clinicians
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Wakefield, RI
- NPI 1366441388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732060800000",
"number": "1376386920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 DARTMOUTH ST FL 3",
"city": "BOSTON",
"state": "MA",
"postal_code": "021165297",
"telephone_number": "617-665-7241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 SALT POND RD STE C1",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "028794304",
"telephone_number": "401-783-9890"
}
],
"practiceLocations": [
{
"address_1": "39 East Ave",
"address_purpose": "LOCATION",
"city": "Westerly",
"state": "RI",
"postal_code": "028913113",
"country_code": "US",
"telephone_number": "401-596-2264",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MYORTHOS RHODE ISLAND ORTHODONTICS PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MYORTHOS RHODE ISLAND ORTHODONTICS PC",
"enumeration_date": "2024-06-13",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A",
"authorized_official_last_name": "LONABOCKER",
"authorized_official_first_name": "CASEY",
"authorized_official_title_or_position": "VP OPERATIONS & STRATEGY",
"authorized_official_telephone_number": "617-535-3364"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DeQuattro Orthodontics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wakefield, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.