Charles M Cavicchio, DPM

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

DPM 206 Issued in RI

Legal business name

CHARLES M CAVICCHIO, DPM

Practice address

25 Greenwood LN
Lincoln, RI 02865-4726

Phone

(401) 644-3861

NPI assigned

Feb 6, 2008

Last updated

Apr 13, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles Michael Cavicchio

Title

Owner

Phone

(401) 644-3861

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1639357148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 GREENWOOD LN",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028654726",
            "telephone_number": "401-644-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 GREENWOOD LN",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028654726",
            "telephone_number": "401-644-3861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES M CAVICCHIO, DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "CAVICCHIO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-644-3861",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "RI",
            "license": "DPM 206",
            "primary": true
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Franklin Castillo
• Cavicchio Podiatry LLC
• Charles Michael Cavicchio, D.P.M.
• Kelly Cedor, AUD
• Kiara Centeio
• Erica Chase, LICSW
• Nicholas Chasse, AGNP
• John Chece, DO
• Cheryl Flynn MD Inc
• Ruth Chevez, APRN, FNP-BC

• Podiatric Clinic/Center in Lincoln, RI
• Providers in Lincoln, RI by specialty
• Podiatric Clinic/Center in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.