Active NPI
Andrew Gazerro III, DMD, PC, Inc.
- General Practice Dentistry
- West Warwick, RI
National Provider Identifier
1801930474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2598
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8741-2 | Other | RI | BLUE CROSS NUMBER |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- West Warwick, RI
- NPI 1487798047
General Practice
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.