Organization Active NPI

Wilfredo L Sancianco DMD Inc

Doing business as Wilfredo Sancianco DMD

  • Dentist
  • Warwick, RI
National Provider Identifier
1407253073
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
02633 Issued in RI
Legal business name
WILFREDO L SANCIANCO DMD INC
Doing business as
Wilfredo Sancianco DMD
Practice address
3411 W Shore Rd
Warwick, RI 02886-7561
Phone
(401) 737-7716
Fax
(401) 737-7713
NPI assigned
Nov 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

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

Authorized official

Name
Dr. Wilfredo L. Sancianco, DMD
Title
Dentist/Provider
Phone
(401) 737-7716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 02633 RI Primary

Addresses

Primary practice location

3411 W Shore Rd
Warwick, RI 02886-7561

Mailing address

3411 W Shore Rd
Warwick, RI 02886-7561
Phone (401) 737-7716

Other identifiers 1

IdentifierTypeStateIssuer
1104221738MedicaidRI

Other names 1

  • Wilfredo Sancianco DMD Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wilfredo L Sancianco DMD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3411 W Shore Rd
Warwick, RI 02886
Phone (401) 737-7715

NPI Registry JSON

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1407253073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 W SHORE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028867561",
            "telephone_number": "401-737-7716",
            "fax_number": "401-737-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 W SHORE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028867561",
            "telephone_number": "401-737-7716",
            "fax_number": "401-737-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILFREDO L SANCIANCO DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-26",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "SANCIANCO",
        "authorized_official_first_name": "WILFREDO",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DENTIST/PROVIDER",
        "authorized_official_telephone_number": "401-737-7716",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "RI",
            "license": "02633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104221738",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilfredo Sancianco DMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 26, 2014; 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.