Organization Active NPI

Joseph L. Disano D.M.D., Inc.

  • Dentist
  • Wakefield, RI
National Provider Identifier
1790016103
Registry record updated Jan 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1457 Issued in RI
Legal business name
JOSEPH L. DISANO D.M.D., INC.
Practice address
390 Main St
Wakefield, RI 02879-7407
Phone
(401) 789-8693
Fax
(401) 788-9438
NPI assigned
Jan 25, 2010
Last updated
Jan 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2010

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

Authorized official

Name
Dr. Joseph L Disano, D.M.D.NPI 1306822119
Title
Owner
Phone
(401) 789-8693

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2746 RI
Dentist 122300000X 1457 RI Primary

Addresses

Primary practice location

390 Main St
Wakefield, RI 02879-7407

Mailing address

390 Main St
Wakefield, RI 02879-7407

National Provider Directory

National Provider Directory

Locations

390 Main St
Wakefield, RI 02879
Phone (401) 789-8693

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1264377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264377600000",
    "number": "1790016103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 MAIN ST",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028797407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 MAIN ST",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028797407",
            "telephone_number": "401-789-8693",
            "fax_number": "401-788-9438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH L. DISANO D.M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-25",
        "last_updated": "2010-01-25",
        "status": "A",
        "authorized_official_last_name": "DISANO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-789-8693",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "RI",
            "license": "2746",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "RI",
            "license": "1457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; 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.