Individual provider Active NPI

Alicia Tavares Turcotte

  • Dentist
  • Rehoboth, MA
National Provider Identifier
1578054862
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN03383 Issued in RI
Practice address
366 Winthrop St
Rehoboth, MA 02769-1816
Phone
(508) 252-6121
NPI assigned
May 23, 2018
Last updated
Apr 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1858000 MA
Dentist 122300000X DEN03383 RI Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

366 Winthrop St
Rehoboth, MA 02769-1816

Mailing address

53 Water St
Rehoboth, MA 02769-1705
Phone (508) 463-7334

Other practice location 1

1482 Broad St
Providence, RI 02905-2836
Phone (401) 781-5151

Other practice location 2

2138 Mendon Rd Ste 202
Cumberland, RI 02864-3835
Phone (401) 723-0350

Other practice location 3

53 Water St
Rehoboth, MA 02769-1705
Phone (508) 463-7334

Other practice location 4

1395 N Main St
Randolph, MA 02368
Phone (781) 963-6077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN1858000MAMDDentist
DEN03383RIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Comfort Dental 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": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1578054862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 WATER ST",
            "city": "REHOBOTH",
            "state": "MA",
            "postal_code": "027691705",
            "telephone_number": "508-463-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 WINTHROP ST",
            "city": "REHOBOTH",
            "state": "MA",
            "postal_code": "027691816",
            "telephone_number": "508-252-6121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1482 Broad St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029052836",
            "country_code": "US",
            "telephone_number": "401-781-5151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2138 Mendon Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "RI",
            "postal_code": "028643835",
            "country_code": "US",
            "telephone_number": "401-723-0350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "53 Water St",
            "address_purpose": "LOCATION",
            "city": "Rehoboth",
            "state": "MA",
            "postal_code": "027691705",
            "country_code": "US",
            "telephone_number": "508-463-7334",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1395 N Main St",
            "address_purpose": "LOCATION",
            "city": "Randolph",
            "state": "MA",
            "postal_code": "02368",
            "country_code": "US",
            "telephone_number": "781-963-6077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TURCOTTE",
        "first_name": "ALICIA",
        "middle_name": "TAVARES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1858000",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "RI",
            "license": "DEN03383",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rehoboth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; 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.