Organization Active NPI

Myorthos Rhode Island Orthodontics PC

Doing business as DeQuattro Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Wakefield, RI
National Provider Identifier
1376386920
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
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, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
MYORTHOS RHODE ISLAND ORTHODONTICS PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Myorthos Rhode Island Orthodontics PC2 organizations share this tax ID, including this one
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.

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.

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.

Verify at the official NPI Registry.