Active NPI
Steven Wayne Silverberg, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- North Providence, RI
National Provider Identifier
1477604387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 1905
- Practice address
- 1637 Mineral Spring Avenue
Suite 219
North Providence, RI 02904 - Phone
- (401) 354-6565
- Fax
- (401) 354-0044
- NPI assigned
- Jan 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 1905 | RI | Primary |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 14424 | MA |
Addresses
Primary practice location
1637 Mineral Spring Avenue
Suite 219
North Providence, RI 02904
Mailing address
1637 Mineral Spring Avenue
Suite 219
North Providence, RI 02904
Phone (401) 354-6565
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84916 | Other | RI | BLUE CROSS OF RI |
| SS11875 | Medicaid | RI | |
| X06781 | Other | MA | BLUE CROSS OF MA |
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 |
|---|---|---|---|
| 14424 | MA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 1905 | RI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477604387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1637 MINERAL SPRING AVENUE",
"address_2": "SUITE 219",
"city": "NORTH PROVIDENCE",
"state": "RI",
"postal_code": "02904",
"telephone_number": "401-354-6565",
"fax_number": "401-354-0044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1637 MINERAL SPRING AVENUE",
"address_2": "SUITE 219",
"city": "NORTH PROVIDENCE",
"state": "RI",
"postal_code": "02904",
"telephone_number": "401-354-6565",
"fax_number": "401-354-0044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILVERBERG",
"first_name": "STEVEN",
"middle_name": "WAYNE",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "RI",
"license": "1905",
"primary": true
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MA",
"license": "14424",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF RI",
"identifier": "84916",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SS11875",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF MA",
"identifier": "X06781",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Providence, 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.