Active NPI
Fotini Dionisopoulos, D.M.D
- Pediatric Dentistry
- Cranston, RI
National Provider Identifier
1770679581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 02845
- Practice address
- 1090 New London Avenue
Cranston, RI 02920 - Phone
- (401) 943-7535
- Fax
- (401) 463-5693
- NPI assigned
- Oct 5, 2006
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 02845 | RI | Primary |
Addresses
Primary practice location
1090 New London Avenue
Cranston, RI 02920
Mailing address
5 Bayberry Court
Lincoln, RI 02865
Phone (401) 943-7535
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PD-00250 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02845 | RI | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1770679581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 BAYBERRY COURT",
"city": "LINCOLN",
"state": "RI",
"postal_code": "02865",
"telephone_number": "401-943-7535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1090 NEW LONDON AVENUE",
"city": "CRANSTON",
"state": "RI",
"postal_code": "02920",
"telephone_number": "401-943-7535",
"fax_number": "401-463-5693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIONISOPOULOS",
"first_name": "FOTINI",
"name_prefix": "Ms.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "RI",
"license": "02845",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PD-00250",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cranston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.