NPIMap

Organization Active NPI

Joanne C. Lewis Pediatric Dentistry, LLC

  • Pediatric Dentistry
  • Coventry, RI
National Provider Identifier
1720380447
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
JOANNE C. LEWIS PEDIATRIC DENTISTRY, LLC
Practice address
840 Tiogue Ave
Front Office
Coventry, RI 02816-5914
Phone
(401) 823-1700
Fax
(401) 823-1702
NPI assigned
Dec 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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

Authorized official

Name
Dr. Joanne Lewis, DDS
Title
Dentist
Phone
(401) 823-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X RI Primary

Addresses

Primary practice location

840 Tiogue Ave
Front Office
Coventry, RI 02816-5914

Mailing address

840 Tiogue Ave
Front Office
Coventry, RI 02816-5914
Phone (401) 823-1700

Other names 1

  • Children's Dentistry of Coventry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Chariho Children'S Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

840 Tiogue Ave
Frnt
Coventry, RI 02816
Phone (401) 823-1700

NPI Registry JSON

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1720380447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 TIOGUE AVE",
            "address_2": "FRONT OFFICE",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028165914",
            "telephone_number": "401-823-1700",
            "fax_number": "401-823-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 TIOGUE AVE",
            "address_2": "FRONT OFFICE",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028165914",
            "telephone_number": "401-823-1700",
            "fax_number": "401-823-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOANNE C. LEWIS PEDIATRIC DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "401-823-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "RI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Dentistry of Coventry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coventry, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.