Organization Active NPI

Pezza Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Cranston, RI
National Provider Identifier
1801048798
Registry record updated Oct 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
PEZZA ORTHODONTICS
Practice address
1220 Pontiac Ave
Cranston, RI 02920-4456
Phone
(401) 943-4111
NPI assigned
Oct 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2008

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

Authorized official

Name
Dr. Joseph Edward Pezza, DDS
Title
Orthodontist
Phone
(401) 943-4111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

1220 Pontiac Ave
Cranston, RI 02920-4456

Mailing address

1220 Pontiac Ave
Cranston, RI 02920-4456
Phone (401) 943-4111

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1801048798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 PONTIAC AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029204456",
            "telephone_number": "401-943-4111",
            "fax_number": "401-943-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 PONTIAC AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029204456",
            "telephone_number": "401-943-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEZZA ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "PEZZA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "401-943-4111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "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 Oct 22, 2008; 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.