Active NPI
John B Demello, D.D.S.
- General Practice Dentistry
- Lincoln, RI
National Provider Identifier
1609922335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1942
- Practice address
- 885 Smithfield Ave
Lincoln, RI 02865-3508 - Phone
- (401) 723-7020
- Fax
- (401) 723-2233
- NPI assigned
- Jan 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1942 | RI | Primary |
Addresses
Primary practice location
885 Smithfield Ave
Lincoln, RI 02865-3508
Mailing address
885 Smithfield Ave
Lincoln, RI 02865-3508
Phone (401) 723-7020
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1942 | RI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Happy Smile, LLC | Past | Accepting new patients | |
| Happy Smile Woonsocket LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Woonsocket, RI
- NPI 1407673189
-
- Dental Clinic/Center
- Lincoln, RI
- NPI 1144737826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609922335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "885 SMITHFIELD AVE",
"city": "LINCOLN",
"state": "RI",
"postal_code": "028653508",
"telephone_number": "401-723-7020",
"fax_number": "401-723-2233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "885 SMITHFIELD AVE",
"city": "LINCOLN",
"state": "RI",
"postal_code": "028653508",
"telephone_number": "401-723-7020",
"fax_number": "401-723-2233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMELLO",
"first_name": "JOHN",
"middle_name": "B",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "RI",
"license": "1942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.