Active NPI
Asciolla Family Dentistry Inc
- General Practice Dentistry
- East Greenwich, RI
National Provider Identifier
1629353552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 02460
- Legal business name
- ASCIOLLA FAMILY DENTISTRY INC
- Practice address
- 880 Main St
East Greenwich, RI 02818-3113 - Phone
- (401) 884-5242
- Fax
- (401) 884-9464
- NPI assigned
- Oct 11, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pamela J Korus
- Title
- Office Manager
- Phone
- (401) 884-5242
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 02460 | RI | Primary |
Addresses
Primary practice location
880 Main St
East Greenwich, RI 02818-3113
Mailing address
880 Main St
East Greenwich, RI 02818-3113
Phone (401) 884-5242
National Provider Directory
National Provider DirectoryLocations
880 Main St
East Greenwich, RI 02818
Phone (401) 741-9219
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1318291200000",
"number": "1629353552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 MAIN ST",
"city": "EAST GREENWICH",
"state": "RI",
"postal_code": "028183113",
"telephone_number": "401-884-5242",
"fax_number": "401-884-9464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 MAIN ST",
"city": "EAST GREENWICH",
"state": "RI",
"postal_code": "028183113",
"telephone_number": "401-884-5242",
"fax_number": "401-884-9464"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASCIOLLA FAMILY DENTISTRY INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-11",
"last_updated": "2011-10-11",
"status": "A",
"authorized_official_last_name": "KORUS",
"authorized_official_first_name": "PAMELA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "401-884-5242"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "RI",
"license": "02460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Greenwich, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.