NPIMap

Organization Active NPI

Rhode Island Cosmetic Dentistry

  • Dentist
  • East Greenwich, RI
National Provider Identifier
1417377359
Registry record updated Apr 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2648 Issued in RI
Legal business name
RHODE ISLAND COSMETIC DENTISTRY
Practice address
63 Cedar Ave Unit 9
East Greenwich, RI 02818-3192
Phone
(401) 885-8808
Fax
(401) 885-8810
NPI assigned
Apr 18, 2014
Last updated
Apr 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2014

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

Authorized official

Name
Dr. Jeffrey B Mansolillo
Title
Manager Partner
Phone
(401) 885-8808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2648 RI Primary

Addresses

Primary practice location

63 Cedar Ave Unit 9
East Greenwich, RI 02818-3192

Mailing address

63 Cedar Ave Unit 9
East Greenwich, RI 02818-3192
Phone (401) 885-8808

National Provider Directory

National Provider Directory

Locations

63 Cedar Ave
Unit 9
East Greenwich, RI 02818
Phone (401) 885-8808

NPI Registry JSON

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

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397779200000",
    "number": "1417377359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 CEDAR AVE UNIT 9",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028183192",
            "telephone_number": "401-885-8808",
            "fax_number": "401-885-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 CEDAR AVE UNIT 9",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028183192",
            "telephone_number": "401-885-8808",
            "fax_number": "401-885-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHODE ISLAND COSMETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-18",
        "last_updated": "2014-04-18",
        "status": "A",
        "authorized_official_last_name": "MANSOLILLO",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGER PARTNER",
        "authorized_official_telephone_number": "401-885-8808",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "RI",
            "license": "2648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Greenwich, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.