NPIMap

Organization Active NPI

Wilfredo L Sancianco DMD

  • Dentist
  • Warwick, RI
National Provider Identifier
1811393630
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN02633 Issued in RI
Legal business name
WILFREDO L SANCIANCO DMD
Practice address
3411 W Shore Rd
Warwick, RI 02886-7561
Phone
(401) 737-7715
Fax
(401) 737-7713
NPI assigned
Nov 5, 2014
Last updated
Nov 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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

Authorized official

Name
Dr. Wilfredo L Sancianco, DMDNPI 1386743102
Title
Owner/Provider
Phone
(401) 737-7715

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DEN02633 RI Primary

Addresses

Primary practice location

3411 W Shore Rd
Warwick, RI 02886-7561

Mailing address

3411 W Shore Rd
Warwick, RI 02886-7561
Phone (401) 737-7715

National Provider Directory

National Provider Directory
Tax ID family
Wilfredo L Sancianco DMD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the 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, 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": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1811393630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 W SHORE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028867561",
            "telephone_number": "401-737-7715",
            "fax_number": "401-737-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 W SHORE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028867561",
            "telephone_number": "401-737-7715",
            "fax_number": "401-737-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILFREDO L SANCIANCO DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "SANCIANCO",
        "authorized_official_first_name": "WILFREDO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "401-737-7715",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "RI",
            "license": "DEN02633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; 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.