Organization Active NPI

Rumford Dental, Inc.

  • Dentist
  • Rumford, RI
National Provider Identifier
1457623985
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
03103 Issued in RI
Legal business name
RUMFORD DENTAL, INC.
Practice address
20 Newman Ave
Suite 1020
Rumford, RI 02916-1960
Phone
(401) 434-4304
NPI assigned
Jan 30, 2012
Last updated
Jan 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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

Authorized official

Name
Dr. Victoria Jean Baeger, DMD
Title
President
Phone
(401) 434-4304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 03103 RI Primary

Addresses

Primary practice location

20 Newman Ave
Suite 1020
Rumford, RI 02916-1960

Mailing address

20 Newman Ave
Suite 1020
Rumford, RI 02916-1960
Phone (401) 434-4304

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1457623985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 NEWMAN AVE",
            "address_2": "SUITE 1020",
            "city": "RUMFORD",
            "state": "RI",
            "postal_code": "029161960",
            "telephone_number": "401-434-4304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 NEWMAN AVE",
            "address_2": "SUITE 1020",
            "city": "RUMFORD",
            "state": "RI",
            "postal_code": "029161960",
            "telephone_number": "401-434-4304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUMFORD DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "BAEGER",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-434-4304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "RI",
            "license": "03103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rumford, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.