Organization Active NPI

Andrew Gazerro III, DMD, PC, Inc.

  • General Practice Dentistry
  • West Warwick, RI
National Provider Identifier
1801930474
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2598 Issued in RI
Legal business name
ANDREW GAZERRO III, DMD, PC, INC.
Practice address
1425 Main St
West Warwick, RI 02893-3895
Phone
(401) 821-6766
Fax
(401) 821-6767
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Andrew Gazerro III, D.M.D.NPI 1487798047
Title
President
Phone
(401) 821-6766

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2598 RI Primary

Addresses

Primary practice location

1425 Main St
West Warwick, RI 02893-3895

Mailing address

1425 Main St
West Warwick, RI 02893-3895
Phone (401) 821-6766

Other identifiers 1

IdentifierTypeStateIssuer
8741-2OtherRIBLUE CROSS NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801930474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 MAIN ST",
            "city": "WEST WARWICK",
            "state": "RI",
            "postal_code": "028933895",
            "telephone_number": "401-821-6766",
            "fax_number": "401-821-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 MAIN ST",
            "city": "WEST WARWICK",
            "state": "RI",
            "postal_code": "028933895",
            "telephone_number": "401-821-6766",
            "fax_number": "401-821-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW GAZERRO III, DMD, PC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAZERRO",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-821-6766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "2598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS NUMBER",
            "identifier": "8741-2",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.