Joanne C Lewis Pediatric Dentistry LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

1487644852

Legal business name

JOANNE C LEWIS PEDIATRIC DENTISTRY LLC

Practice address

5700 Post Rd Unit 5
East Greenwich, RI 02818-3455

Phone

(401) 285-2500

Fax

(401) 823-1702

NPI assigned

Jan 20, 2017

Organization subpart

No

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

Authorized official

Name

Amanda N Johnson

Title

Practice Manager

Phone

(401) 285-2500

Specialties & licenses 4

Addresses

Other identifiers 3

Other names 2

• Chariho Children's Dentistry Doing business as
• Children's Dentistry of East Greenwich Doing business as

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.

• Joanne C. Lewis Pediatric Dentistry, LLC

  • Pediatric Dentistry
  • Coventry, RI
  • NPI 1720380447
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Rachel Berman

  • Pediatric Dentistry
  • East Greenwich, RI
  • NPI 1083234215
  NPD (past)
• Julia Lafen, DMD

  • Pediatric Dentistry
  • East Greenwich, RI
  • NPI 1871167783
  NPD (past)
• Olga Raptis, D.M.D.

  • Pediatric Dentistry
  • Derry, NH
  • NPI 1427505593

  General Practice

  NPD (past)

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

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1780121350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 POST RD UNIT 5",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028183455",
            "telephone_number": "401-285-2500",
            "fax_number": "401-823-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 POST RD UNIT 5",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028183455",
            "telephone_number": "401-285-2500",
            "fax_number": "401-823-1702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Main St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Hope Valley",
            "state": "RI",
            "postal_code": "028321610",
            "country_code": "US",
            "telephone_number": "401-539-6007",
            "fax_number": "401-823-1702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2435 Nooseneck Hill Rd Unit 4A",
            "address_purpose": "LOCATION",
            "city": "Coventry",
            "state": "RI",
            "postal_code": "028166798",
            "country_code": "US",
            "telephone_number": "401-823-1700",
            "fax_number": "401-823-1702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOANNE C LEWIS PEDIATRIC DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-20",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "401-285-2500"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "1497729370",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "1114362506",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": "1487644852",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "RI",
            "license": "1053759225",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1912036013",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1487644852",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1891157145",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chariho Children's Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Children's Dentistry of East Greenwich",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaylee Janton
• Stephen C Jarrow, D.C.
• Mehran Javid, DMD
• Nathaniel Josef Jellinek, MD
• Joanne C Lewis DDS LLC
• John E Anzivino
• John G Slattery MD
• John J. Cribb, MD, Inc.
• John S. Kacewicz, D.M.D.
• Elizabeth J. Johnson, MS, MFT

• Pediatric Dentistry in East Greenwich, RI
• Providers in East Greenwich, RI by specialty
• Pediatric Dentistry in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.