Portsmouth Dental Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN02928 Issued in RI

Legal business name

PORTSMOUTH DENTAL ASSOCIATES

Practice address

2765 E Main Rd
Portsmouth, RI 02871-2605

Phone

(401) 683-9724

NPI assigned

Jun 18, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Nathan Wayne Tilman, DDS

Title

Owner/Dentist

Phone

(401) 683-9724

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Dianne D Pannes, DDS

  • Dentist
  • Newport, RI
  • NPI 1336158153
  NPD (past)
• Aaron James Ramos, DMD

  • Student in an Organized Health Care Education/Training Program
  • Portsmouth, RI
  • NPI 1629962840
  NPD (past)

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1790167443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 BROADWAY",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028402748",
            "telephone_number": "401-683-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2765 E MAIN RD",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "028712605",
            "telephone_number": "401-683-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTSMOUTH DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "TILMAN",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "401-683-9724",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "DEN02928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Phillips, CD/PCD(DONA) CLC
• Joseph D. Pianka, MD
• Steven F. Pinto, DMD
• Beverly Poirier, LICSW
• Elizabeth Stevens Pollock, LMFT,RN
• Portsmouth Pediatrics
• Portsmouth School Department
• Portsmouth School Department
• Elena Post, M.S.,CCC-SLP
• Kathryn Elizabeth Powell, PT, DPT

• General Practice Dentistry in Portsmouth, RI
• Providers in Portsmouth, RI by specialty
• General Practice Dentistry in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.