John S. Kacewicz, D.M.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

JOHN S. KACEWICZ, D.M.D.

Practice address

990 Main St
East Greenwich, RI 02818-3182

Phone

(401) 884-6500

Fax

(401) 886-4432

NPI assigned

Sep 20, 2022

Organization subpart

No

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

Authorized official

Name

Anne Desousa, CDA

Title

Office Manager

Phone

(401) 884-6500

Specialties & licenses 1

Addresses

Other names 1

• Rhode Island Orthodontic Group Other name

Electronic endpoints 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1396468013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 MAIN ST",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028183182",
            "telephone_number": "401-884-6500",
            "fax_number": "401-886-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 MAIN ST",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028183182",
            "telephone_number": "401-884-6500",
            "fax_number": "401-886-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN S. KACEWICZ, D.M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "DESOUSA",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "401-884-6500",
        "authorized_official_credential": "CDA"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "recordskacewicz@gmail.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "990 Main St",
            "city": "East Greenwich",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028183182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Rhode Island Orthodontic Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joanne C Lewis DDS LLC
• Joanne C Lewis Pediatric Dentistry LLC
• John E Anzivino
• John G Slattery MD
• John J. Cribb, MD, Inc.
• Elizabeth J. Johnson, MS, MFT
• Ronald Jolin, LICSW
• Ronald P Jordan, R.PH.
• Jane Maria Joseph-Delvecchio, MD
• Marie Joyce, PT

• Orthodontics and Dentofacial Orthopedics Dentistry in East Greenwich, RI
• Providers in East Greenwich, RI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.