Individual provider Active NPI

Justin Zumstein, DDS

  • General Practice Dentistry
  • Wakefield, RI
National Provider Identifier
1558308395
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
02876 Issued in RI
Practice address
80 Pershing Ave
Wakefield, RI 02879-3713
Phone
(401) 789-2510
NPI assigned
Jun 1, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 02876 RI Primary

Addresses

Primary practice location

80 Pershing Ave
Wakefield, RI 02879-3713

Mailing address

80 Pershing Ave
Wakefield, RI 02879-3713
Phone (401) 789-2510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150605000547 RI Order and Referring Only - DentistPractitioner - Dentist 0749501575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02876RIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Zumstein Family Dentistry, LLC General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1558308395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 PERSHING AVE",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793713",
            "telephone_number": "401-789-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 PERSHING AVE",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793713",
            "telephone_number": "401-789-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUMSTEIN",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "02876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, RI

Sources for this page

Verify at the official NPI Registry.