Active NPI
Rhode Island Primary Care, Inc.
Doing business as Family Health & Sports Medicine
- Non-Pharmacy Dispensing Site
- Cranston, RI
National Provider Identifier
1497897870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- License
- MD05719
- Legal business name
- RHODE ISLAND PRIMARY CARE, INC.
- Doing business as
- Family Health & Sports Medicine
- Practice address
- 65 Sockanosset Cross Rd
Suite 301
Cranston, RI 02920-5536 - Phone
- (401) 943-6910
- NPI assigned
- Feb 13, 2007
- Last updated
- Jan 27, 2015
- Organization subpart
- Yes
- Parent organization
- MEDVANTX, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenny Heine
- Title
- VP of Operations
- Phone
- (858) 625-2990
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | MD05719 | RI | Primary |
Addresses
Primary practice location
65 Sockanosset Cross Rd
Suite 301
Cranston, RI 02920-5536
Mailing address
5626 Oberlin Dr
Suite 110
San Diego, CA 92121-1705
Phone (858) 625-2990
Other names 1
- Family Health & Sports Medicine
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 41D0084371 | Family Health & Sports Medicine LLC | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Part of
- Medvantx Inc
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.
-
- Family Medicine Physician
- Cranston, RI
- NPI 1821082777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1422316800000",
"number": "1497897870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5626 OBERLIN DR",
"address_2": "SUITE 110",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921211705",
"telephone_number": "858-625-2990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 SOCKANOSSET CROSS RD",
"address_2": "SUITE 301",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029205536",
"telephone_number": "401-943-6910"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RHODE ISLAND PRIMARY CARE, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MEDVANTX, INC.",
"enumeration_date": "2007-02-13",
"last_updated": "2015-01-27",
"status": "A",
"authorized_official_last_name": "HEINE",
"authorized_official_first_name": "KENNY",
"authorized_official_title_or_position": "VP OF OPERATIONS",
"authorized_official_telephone_number": "858-625-2990"
},
"taxonomies": [
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": "RI",
"license": "MD05719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Health & Sports Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cranston, RI
- Rhode Island Integrated Medicine Inc (RI Integrated Medicine)
- Rhode Island Limb Co Inc (Tru-Care Physical Therapy)
- Rhode Island Limb Co, Inc
- Rhode Island Optometrics, LLC
- Rhode Island Optometrics, LLC
- Rhode Island Psychology, LLC
- Rhode Island Rehabilitation Center
- Rhode Island Rehabilitation Institute P.C,
- Rhode Island Spine & Injury Institute
- Rhode Island State Psychiatric Hospital
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.