Active NPI
East Providence Footcare,Inc.
- Podiatrist
- East Providence, RI
National Provider Identifier
1811905169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- DPMO198
- 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, 2008
- 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
- Dennis Anthony Dimatteo, DPM
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9018099 | Medicaid | RI |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Foot & Ankle Surgery Podiatrist
- East Providence, RI
- NPI 1275597403
-
- Foot & Ankle Surgery Podiatrist
- Riverside, RI
- NPI 1447214291
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
- Each and Every Voice LTD.
- East Bay Oral Surgery
- East Point Behavioral Health LLC
- East Providence Dental Care, LLC
- East Providence Emergency Room Inc (East Providence Urgent Care)
- East Providence Senior Center
- East Providence Senior Center (DSMT Program Health Nutrition Diabetes Office EPSC)
- East Side Clinical Laboratory, Inc.
- Eastgate Nursing and Recovery Center Inc.
- Eastside Neurology, Inc.
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.