Organization Active NPI

Ronald L. Ciombor D.D.S.

  • General Practice Dentistry
  • Pawtucket, RI
National Provider Identifier
1720236342
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1660 Issued in RI
Legal business name
RONALD L. CIOMBOR D.D.S.
Practice address
536 Central Ave
Pawtucket, RI 02861-1947
Phone
(401) 726-1772
Fax
(401) 305-3627
NPI assigned
Sep 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

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

Authorized official

Name
Dr. Ronald L. Ciombor, D.D.S.
Title
Owner
Phone
(401) 726-1772

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 1660 RI Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 2935 RI

Addresses

Primary practice location

536 Central Ave
Pawtucket, RI 02861-1947

Mailing address

536 Central Ave
Pawtucket, RI 02861-1947
Phone (401) 726-1772

National Provider Directory

National Provider Directory

Locations

536 Central Ave
Pawtucket, RI 02861
Phone (401) 726-1772

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": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1720236342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 CENTRAL AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028611947",
            "telephone_number": "401-726-1772",
            "fax_number": "401-305-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 CENTRAL AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028611947",
            "telephone_number": "401-726-1772",
            "fax_number": "401-305-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD L. CIOMBOR D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-08",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "CIOMBOR",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-726-1772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "1660",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "2935",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; 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.