Daniel T. Shreve, M.D., Inc.

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

MD03558 Issued in RI

Legal business name

DANIEL T. SHREVE, M.D., INC.

Practice address

47 Hazard Ave
East Providence, RI 02914-3309

Phone

(401) 434-9100

NPI assigned

Feb 8, 2007

Last updated

Oct 17, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

MEDVANTX, INC.As reported in NPPES

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

Authorized official

Name

Kenny Heine

Title

Director of Operations

Phone

(858) 625-2990

Specialties & licenses 1

Addresses

Part of

Medvantx Inc

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1619017308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705",
            "telephone_number": "858-625-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 HAZARD AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029143309",
            "telephone_number": "401-434-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL T. SHREVE, M.D., INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2007-02-08",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "858-625-2990"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "RI",
            "license": "MD03558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Faye Curry, D.O.
• Francine A D'Elia, PHD
• Lori S Dacosta, PT
• Emma Elizabeth Dallaire, PA-C
• Daniel T Shreve MD Inc
• Daniela Turacova MD
• Emily Daniell, NP
• Alan H Daniels, MD
• David J. Disanto, M.D. Inc
• Elizabeth Davis, RN, BSN, CLC

• Non-Pharmacy Dispensing Site in East Providence, RI
• Providers in East Providence, RI by specialty
• Non-Pharmacy Dispensing Site in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.