Organization Active NPI

Dental Associates of Ri

  • General Practice Dentistry
  • Johnston, RI
National Provider Identifier
1497072763
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN03011 Issued in MA
Legal business name
DENTAL ASSOCIATES OF RI
Practice address
1414 Atwood Ave, Ste 350
Johnston, RI 02919
Phone
(401) 331-7665
Fax
(401) 331-7666
NPI assigned
Apr 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Authorized official

Name
Dr. Rupesh Udeshi, DMDNPI 1154521201
Title
Dentist/Owner
Phone
(401) 331-7665

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DEN03011 MA Primary

Addresses

Primary practice location

1414 Atwood Ave, Ste 350
Johnston, RI 02919

Mailing address

1414 Atwood Ave, Ste 350
Johnston, RI 02919
Phone (401) 331-7665

National Provider Directory

National Provider Directory

Locations

1524 Atwood Ave
Ste 224
Johnston, RI 02919
Phone (401) 331-7665

1414 Atwood Ave
Ste 350
Johnston, RI 02919
Phone (401) 331-7665

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1497072763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 ATWOOD AVE, STE 350",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "02919",
            "telephone_number": "401-331-7665",
            "fax_number": "401-331-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 ATWOOD AVE, STE 350",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "02919",
            "telephone_number": "401-331-7665",
            "fax_number": "401-331-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ASSOCIATES OF RI",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-27",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "UDESHI",
        "authorized_official_first_name": "RUPESH",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "401-331-7665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DEN03011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.