Peter Payne, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DEN01816 Issued in RI

Practice address

151 Waterman St
Providence, RI 02906-2118

Phone

(401) 273-6161

NPI assigned

Jan 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699828640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 WATERMAN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 WATERMAN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062118",
            "telephone_number": "401-273-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "RI",
            "license": "DEN01816",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "13148",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS DENTAL",
            "identifier": "8404-6",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward Scott Paxton Jr., MD
• Lucia L Paye, RN
• Allison Ernestine Payne, DO
• Andrew Cumming Payne, DIPL. OM, LIC. AC
• Michelle Li Zhao Payne, PHARMD
• Alysse Katherine Pazienza, PA-C
• Frank A Pazienza, D.D.S.
• Matthew Angelo Pazienza, DMD
• Pdi Health Ri LLC
• Pdi Health Ri LLC

• Periodontics in Providence, RI
• Providers in Providence, RI by specialty
• Periodontics in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.