Active NPI
Daniel T Shreve MD Inc
- Internal Medicine Physician
- East Providence, RI
National Provider Identifier
1730634254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD03558
- Legal business name
- DANIEL T SHREVE MD INC
- Practice address
- 47 Hazard Ave
East Providence, RI 02914-3309 - Phone
- (401) 434-9100
- Fax
- (401) 434-4732
- NPI assigned
- Aug 25, 2016
- Organization subpart
- Yes
- Parent organization
- DANIEL T SHREVE MD INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel T Shreve, M.D.
- Title
- Physician
- Phone
- (401) 434-9100
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD03558 | RI | Primary |
| Exclusive Provider Organization | 302F00000X | MD03558 | RI | |
| Point of Service | 305S00000X | MD03558 | RI |
Addresses
Primary practice location
47 Hazard Ave
East Providence, RI 02914-3309
Mailing address
47 Hazard Ave
East Providence, RI 02914-3309
Phone (401) 434-9100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9001447 | Medicaid | RI | |
| 1134239767 | Other | RI | DANIEL T SHREVE MD INC |
Other names 1
- DANIEL T SHREVE MD
National Provider Directory
National Provider Directory- Part of
- Daniel T Shreve MD Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1472083200000",
"number": "1730634254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 HAZARD AVE",
"city": "EAST PROVIDENCE",
"state": "RI",
"postal_code": "029143309",
"telephone_number": "401-434-9100",
"fax_number": "401-434-4732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 HAZARD AVE",
"city": "EAST PROVIDENCE",
"state": "RI",
"postal_code": "029143309",
"telephone_number": "401-434-9100",
"fax_number": "401-434-4732"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANIEL T SHREVE MD INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DANIEL T SHREVE MD INC",
"enumeration_date": "2016-08-25",
"last_updated": "2016-08-25",
"status": "A",
"authorized_official_last_name": "SHREVE",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "401-434-9100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "RI",
"license": "MD03558",
"primary": true
},
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": "RI",
"license": "MD03558",
"primary": false
},
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": "RI",
"license": "MD03558",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9001447",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DANIEL T SHREVE MD INC",
"identifier": "1134239767",
"state": "RI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DANIEL T SHREVE MD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in East Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.