NPIMap

Organization Active NPI

Childrens Dentistry of Westerly LLC

  • Pediatric Dentistry
  • Westerly, RI
National Provider Identifier
1497980924
Registry record updated May 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
2263 Issued in RI
Legal business name
CHILDRENS DENTISTRY OF WESTERLY LLC
Practice address
130 Granite St # C
Westerly, RI 02891-2461
Phone
(401) 596-8720
Fax
(401) 596-5403
NPI assigned
May 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2009

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

Authorized official

Name
Dr. Brian Paul Shannon, D.D.SNPI 1790725380
Title
Owner
Phone
(401) 596-8720

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 2263 RI Primary

Addresses

Primary practice location

130 Granite St # C
Westerly, RI 02891-2461

Mailing address

130 Granite St # C
Westerly, RI 02891-2461
Phone (401) 596-8720

National Provider Directory

National Provider Directory

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": "1243468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243468800000",
    "number": "1497980924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 GRANITE ST # C",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912461",
            "telephone_number": "401-596-8720",
            "fax_number": "401-596-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 GRANITE ST # C",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912461",
            "telephone_number": "401-596-8720",
            "fax_number": "401-596-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS DENTISTRY OF WESTERLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-28",
        "last_updated": "2009-05-28",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-596-8720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "RI",
            "license": "2263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerly, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; 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.