Organization Active NPI

Resnevic Family Dental, LLC

  • General Practice Dentistry
  • Chepachet, RI
National Provider Identifier
1639617707
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RESNEVIC FAMILY DENTAL, LLC
Practice address
895 Putnam Pike
Chepachet, RI 02814-1471
Phone
(401) 567-0500
Fax
(401) 567-9272
NPI assigned
Feb 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

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

Authorized official

Name
Mrs. Linda Resnevic
Title
Front Desk
Phone
(401) 567-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

895 Putnam Pike
Chepachet, RI 02814-1471

Mailing address

895 Putnam Pike
Chepachet, RI 02814-1471
Phone (401) 567-0500

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1486512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1639617707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 PUTNAM PIKE",
            "city": "CHEPACHET",
            "state": "RI",
            "postal_code": "028141471",
            "telephone_number": "401-567-0500",
            "fax_number": "401-567-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 PUTNAM PIKE",
            "city": "CHEPACHET",
            "state": "RI",
            "postal_code": "028141471",
            "telephone_number": "401-567-0500",
            "fax_number": "401-567-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESNEVIC FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "RESNEVIC",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "FRONT DESK",
        "authorized_official_telephone_number": "401-567-0500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chepachet, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.