Active NPI
Wayland A Easley, DDS
- Dentist
- Warwick, RI
National Provider Identifier
1770780645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN02883
- Practice address
- 230 Airport Rd
Warwick, RI 02889 - Phone
- (401) 732-4117
- Fax
- (401) 352-0807
- NPI assigned
- Jul 2, 2007
- Last updated
- Sep 30, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 21302 | MA | |
| Dentist | 122300000X | 051644 | NY | |
| Dentist | 122300000X | DEN02883 | RI | Primary |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 0223000 MASSHEALTH | MA | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 0223000 DORAL DENTAL | MA | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | AGHDREXEL OMS | PA | |
| Anesthesiology Physician | 207L00000X | 2130220 | MA | |
| Anesthesiology Physician | 207L00000X | DAPA02663 | RI |
Addresses
Primary practice location
230 Airport Rd
Warwick, RI 02889
Mailing address
230 Airport Rd
Warwick, RI 02889
Phone (401) 732-4117
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WE57613 | Medicaid | RI | |
| 0223000 | Other | MA | DORAL : BMC HEALTH PLAN,NEIGHBORHOOD(MA),NETWORK HEALTH, SR. WHOLE HEALTH |
| 0223000 | Medicaid | MA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21302 | MA | MD | Dentist |
| DEN02883 | RI | MD | Dentist |
| 0223000 DORAL DENTAL | MA | MD | Oral and Maxillofacial Surgery (Dentist) |
| 0223000 MASSHEALTH | MA | MD | Oral and Maxillofacial Surgery (Dentist) |
| AGHDREXEL OMS | PA | MD | Oral and Maxillofacial Surgery (Dentist) |
| 2130220 | MA | MD | Anesthesiology Physician |
| DAPA02663 | RI | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joel H. Harrison, DMD, LTD | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| Joel H Harrison DMD LTD | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Locations
230 Airport Rd
Warwick, RI 02889
Phone (401) 732-4117
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Oral and Maxillofacial Surgery (Dentist)
- Warwick, RI
- NPI 1639927338
-
- Oral and Maxillofacial Surgery (Dentist)
- Warwick, RI
- NPI 1013075373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727654400000",
"number": "1770780645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 AIRPORT RD",
"city": "WARWICK",
"state": "RI",
"postal_code": "02889",
"telephone_number": "401-732-4117",
"fax_number": "401-352-0807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 AIRPORT RD",
"city": "WARWICK",
"state": "RI",
"postal_code": "02889",
"telephone_number": "401-732-4117",
"fax_number": "401-352-0807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EASLEY",
"first_name": "WAYLAND",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-02",
"last_updated": "2024-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "21302",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "051644",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "RI",
"license": "DEN02883",
"primary": true
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MA",
"license": "0223000 MASSHEALTH",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MA",
"license": "0223000 DORAL DENTAL",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "PA",
"license": "AGHDREXEL OMS",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MA",
"license": "2130220",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "RI",
"license": "DAPA02663",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "WE57613",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DORAL : BMC HEALTH PLAN,NEIGHBORHOOD(MA),NETWORK HEALTH, SR. WHOLE HEALTH",
"identifier": "0223000",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0223000",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.