Active NPI
Laura Olin
- Dentist
- Warwick, RI
National Provider Identifier
1396346151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN03526
- Practice address
- 1000 Bald Hill Rd
Warwick, RI 02886-0506 - Phone
- (401) 822-1866
- NPI assigned
- Nov 6, 2020
- Last updated
- Nov 6, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN03526 | RI | Primary |
Addresses
Primary practice location
1000 Bald Hill Rd
Warwick, RI 02886-0506
Mailing address
702 Pleasant Valley Rd N Apt 101
Groton, CT 06340-2554
Phone (510) 207-5391
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN03526 | RI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunny Smile Group II LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604620800000",
"number": "1396346151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 PLEASANT VALLEY RD N APT 101",
"city": "GROTON",
"state": "CT",
"postal_code": "063402554",
"telephone_number": "510-207-5391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 BALD HILL RD",
"city": "WARWICK",
"state": "RI",
"postal_code": "028860506",
"telephone_number": "401-822-1866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIN",
"first_name": "LAURA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-06",
"last_updated": "2020-11-06",
"certification_date": "2020-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "RI",
"license": "DEN03526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.