Organization Active NPI

Mansolillo Mansolillo & Mansolillo DDS

  • Dentist
  • Johnston, RI
National Provider Identifier
1659350312
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MANSOLILLO MANSOLILLO & MANSOLILLO DDS
Practice address
1347 Hartford Ave
Johnston, RI 02919
Phone
(401) 861-1080
Fax
(401) 861-5706
NPI assigned
Jan 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joseph Lewis Mansolillo, DDS
Title
Partner
Phone
(401) 861-1080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1347 Hartford Ave
Johnston, RI 02919

Mailing address

1347 Hartford Ave
Johnston, RI 02919
Phone (401) 861-1080

National Provider Directory

National Provider Directory

Locations

1347 Hartford Ave
Johnston, RI 02919
Phone (401) 861-1080

Practitioners & affiliated clinicians

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": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659350312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1347 HARTFORD AVE",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "02919",
            "telephone_number": "401-861-1080",
            "fax_number": "401-861-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1347 HARTFORD AVE",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "02919",
            "telephone_number": "401-861-1080",
            "fax_number": "401-861-5706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANSOLILLO MANSOLILLO & MANSOLILLO DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANSOLILLO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "401-861-1080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.