Organization Active NPI

Asciolla Family Dentistry Inc

  • General Practice Dentistry
  • East Greenwich, RI
National Provider Identifier
1629353552
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
02460 Issued in RI
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

Updated by the provider on Oct 11, 2011

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.