NPIMap

Organization Active NPI

Wayne B. Mollohan, D.M.D., LTD

  • Dentist
  • West Warwick, RI
National Provider Identifier
1396076386
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN01880 Issued in RI
Legal business name
WAYNE B. MOLLOHAN, D.M.D., LTD
Practice address
251 Quaker LN
West Warwick, RI 02893-2121
Phone
(401) 822-3390
NPI assigned
Jan 15, 2010
Last updated
Jan 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

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

Authorized official

Name
Wayne B Mollohan, DMDNPI 1942280078
Title
Owner
Phone
(401) 822-3390

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN01880 RI Primary

Addresses

Primary practice location

251 Quaker LN
West Warwick, RI 02893-2121

Mailing address

251 Quaker LN
West Warwick, RI 02893-2121
Phone (401) 822-3390

National Provider Directory

National Provider Directory

Locations

251 Quaker Ln
West Warwick, RI 02893
Phone (401) 822-3390

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": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263513600000",
    "number": "1396076386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 QUAKER LN",
            "city": "WEST WARWICK",
            "state": "RI",
            "postal_code": "028932121",
            "telephone_number": "401-822-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 QUAKER LN",
            "city": "WEST WARWICK",
            "state": "RI",
            "postal_code": "028932121",
            "telephone_number": "401-822-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE B. MOLLOHAN, D.M.D., LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2010-01-15",
        "status": "A",
        "authorized_official_last_name": "MOLLOHAN",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-822-3390",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "RI",
            "license": "DEN01880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.