Active NPI
Jonpaul Vanregenmorter, DDS
- General Practice Dentistry
- Tiverton, RI
National Provider Identifier
1396841797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DEN02748
- Practice address
- 1359 Main Rd
Tiverton, RI 02878-4426 - Phone
- (401) 624-9177
- Fax
- (401) 624-9233
- NPI assigned
- Sep 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DEN02748 | RI | Primary |
Addresses
Primary practice location
1359 Main Rd
Tiverton, RI 02878-4426
Mailing address
25 Highland Rd
Tiverton, RI 02878-4409
Phone (401) 624-6119
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80945 | Other | RI | BLUE CROSS BLUE SHIELD |
| X12325 | Other | MA | BLUE COSS BLUE SHIELD |
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 |
|---|---|---|---|
| DEN02748 | RI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dutchman Dental LLC | General Practice | Past | Accepting new patients |
| Dutchmen Dental LLC | General Practice | Past | Accepting new patients |
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": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396841797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 HIGHLAND RD",
"city": "TIVERTON",
"state": "RI",
"postal_code": "028784409",
"telephone_number": "401-624-6119",
"fax_number": "401-624-9233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1359 MAIN RD",
"city": "TIVERTON",
"state": "RI",
"postal_code": "028784426",
"telephone_number": "401-624-9177",
"fax_number": "401-624-9233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANREGENMORTER",
"first_name": "JONPAUL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "RI",
"license": "DEN02748",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "80945",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE COSS BLUE SHIELD",
"identifier": "X12325",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tiverton, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.