Jean Andrea Resnevic, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DEN03131 Issued in RI

Practice address

895 Putnam Pike
Chepachet, RI 02814-1471

Phone

(401) 567-0500

Fax

(401) 567-9272

NPI assigned

Aug 25, 2009

Last updated

Oct 7, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Resnevic Dental, LLC

  • General Practice Dentistry
  • Chepachet, RI
  • NPI 1114268679
  NPD (past)
• Resnevic Family Dental, LLC

  • General Practice Dentistry
  • Chepachet, RI
  • NPI 1639617707
  NPD (past)

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317945600000",
    "number": "1679706659",
    "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": "407-567-9272"
        },
        {
            "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": {
        "last_name": "RESNEVIC",
        "first_name": "JEAN",
        "middle_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-25",
        "last_updated": "2011-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "24885",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "RI",
            "license": "DEN03131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rehabexperts Massage Therapy
• Rachel E. Reichert, M.ED., BCBA
• Resnevic Dental, LLC
• Resnevic Family Dental, LLC
• George A Resnevic, DMD
• Romani Orthodontics PC
• Cole Scott
• Taylor Soukas, CCC-SLP
• Stillwater Primary Care LTD
• Walter Michael Watts, RPH

• Dentist in Chepachet, RI
• Providers in Chepachet, RI by specialty
• Dentist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.