Organization Active NPI

Kobad B Malesra DDS

  • Dentist
  • Cranston, RI
National Provider Identifier
1770837015
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KOBAD B MALESRA DDS
Practice address
1370 Cranston St
Cranston, RI 02920-6758
Phone
(401) 946-1010
NPI assigned
Nov 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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

Authorized official

Name
Kobad Malesra, DDS
Title
Dentist
Phone
(401) 946-1010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1370 Cranston St
Cranston, RI 02920-6758

Mailing address

1370 Cranston St
Cranston, RI 02920-6758
Phone (401) 946-1010

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1770837015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 CRANSTON ST",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029206758",
            "telephone_number": "401-946-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 CRANSTON ST",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029206758",
            "telephone_number": "401-946-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOBAD B MALESRA DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-08",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "MALESRA",
        "authorized_official_first_name": "KOBAD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "401-946-1010",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 8, 2012; 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.