Shaghalian Family Dental, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

DEN02886 Issued in RI

Legal business name

SHAGHALIAN FAMILY DENTAL, LLC

Practice address

1002 Pawtucket Ave
Rumford, RI 02916-1704

Phone

(401) 438-4964

Fax

(401) 434-6021

NPI assigned

Nov 8, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Justin W Shaghalian, DMD

Title

Dentist/Owner

Phone

(401) 438-4964

Specialties & licenses 1

Addresses

Locations

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.

• Walter Raymond Shaghalian

  • General Practice Dentistry
  • Rumford, RI
  • NPI 1942286497
  NPD (past)

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478563200000",
    "number": "1568904571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 PAWTUCKET AVE",
            "city": "RUMFORD",
            "state": "RI",
            "postal_code": "029161704",
            "telephone_number": "401-438-4964",
            "fax_number": "401-434-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 PAWTUCKET AVE",
            "city": "RUMFORD",
            "state": "RI",
            "postal_code": "029161704",
            "telephone_number": "401-438-4964",
            "fax_number": "401-434-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAGHALIAN FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-08",
        "last_updated": "2016-11-08",
        "status": "A",
        "authorized_official_last_name": "SHAGHALIAN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "401-438-4964",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "RI",
            "license": "DEN02886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rumford Dental, Inc.
• Maegan A Russo, BA, RBT
• Safe Nest Therapy and Consultation
• Vincent Joseph Seccareccia III, DVM
• Kristyn Sequeira, M.S
• Walter Raymond Shaghalian
• Chantal Aimee Shea, LICSW
• Oren Shtayermman
• Dawn E Souza, LPN
• Strength on My Side, Inc.

• Dentist in Rumford, RI
• Providers in Rumford, RI by specialty
• Dentist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; 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.