Organization Active NPI

Comfort Dental

  • General Practice Dentistry
  • Providence, RI
National Provider Identifier
1821248964
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2560 Issued in RI
Legal business name
COMFORT DENTAL
Practice address
1482 Broad St
Providence, RI 02905-2836
Phone
(401) 781-5151
Fax
(401) 781-5252
NPI assigned
Sep 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Authorized official

Name
Ms. Lizbeth Rivera, BM
Title
Business Member
Phone
(401) 781-5151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 2560 RI Primary

Addresses

Primary practice location

1482 Broad St
Providence, RI 02905-2836

Mailing address

1482 Broad St
Providence, RI 02905-2836
Phone (401) 781-5151

Other names 1

  • comfort dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Comfort Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1482 Broad St
Providence, RI 02905
Phone (401) 227-3650

Practitioners & affiliated clinicians

Practitioners 2

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": "1222300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1821248964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1482 BROAD ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029052836",
            "telephone_number": "401-781-5151",
            "fax_number": "401-781-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1482 BROAD ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029052836",
            "telephone_number": "401-781-5151",
            "fax_number": "401-781-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-25",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "LIZBETH",
        "authorized_official_title_or_position": "BUSINESS MEMBER",
        "authorized_official_telephone_number": "401-781-5151",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BM"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "2560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "comfort dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.