Individual provider Active NPI

Iliana Saavedra, D.D.S

  • General Practice Dentistry
  • East Providence, RI
National Provider Identifier
1386000552
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN03308 Issued in RI
Practice address
888 Broadway
East Providence, RI 02914-3742
Phone
(401) 228-3999
NPI assigned
Jan 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN03308 RI Primary

Addresses

Primary practice location

888 Broadway
East Providence, RI 02914-3742

Mailing address

158 Arnold Ave
Cranston, RI 02905-3816
Phone (361) 563-0168

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address iliana.saavedra.p2@direct.ebcap.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170112002549 RI Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 6204118920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Your Profile Dental, LLC General Practice CurrentSince Feb 4, 2024 Accepting new patients
East Bay Community Action Program Past Accepting new patients

Locations

888 Broadway
East Providence, RI 02914
Phone (401) 228-3999

Organizations & group practices 2

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": "1451865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1386000552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 ARNOLD AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029053816",
            "telephone_number": "361-563-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 BROADWAY",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029143742",
            "telephone_number": "401-228-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAAVEDRA",
        "first_name": "ILIANA",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-04",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "DEN03308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "iliana.saavedra.p2@direct.ebcap.nextgenshare.com",
            "affiliation": "N",
            "address_1": "19 Broadway",
            "city": "Newport",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028402937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Providence, RI

Sources for this page

Verify at the official NPI Registry.