Organization Active NPI

East Providence Footcare,Inc.

  • Podiatrist
  • East Providence, RI
National Provider Identifier
1811905169
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
DPMO198 Issued in RI
Legal business name
EAST PROVIDENCE FOOTCARE,INC.
Practice address
224 Taunton Ave
East Providence, RI 02914-3731
Phone
(401) 438-8090
Fax
(401) 435-5069
NPI assigned
Aug 3, 2006
Last updated
Jun 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Authorized official

Name
Dennis Anthony Dimatteo, DPMNPI 1275597403
Title
President
Phone
(401) 438-8090

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
Podiatrist 213E00000X DPMO198 RI Primary

Addresses

Primary practice location

224 Taunton Ave
East Providence, RI 02914-3731

Mailing address

PO Box 3160
Andover, MA 01810-0803
Phone (978) 474-8885

Other identifiers 1

IdentifierTypeStateIssuer
9018099MedicaidRI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1811905169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3160",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018100803",
            "telephone_number": "978-474-8885",
            "fax_number": "978-474-8845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 TAUNTON AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029143731",
            "telephone_number": "401-438-8090",
            "fax_number": "401-435-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST PROVIDENCE FOOTCARE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "DIMATTEO",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-438-8090",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "RI",
            "license": "DPMO198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9018099",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.