Active NPI
Les R Prasad, D.D.S
- Dentist
- Cranston, RI
National Provider Identifier
1831219443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 01827
- Practice address
- 989 Reservoir Ave
Cranston, RI 02910-5138 - Phone
- (401) 944-7556
- Fax
- (401) 228-7188
- NPI assigned
- Mar 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 01827 | RI | Primary |
Addresses
Primary practice location
989 Reservoir Ave
Cranston, RI 02910-5138
Mailing address
8 Maplewood Dr
Lincoln, RI 02865-4526
Phone (401) 728-8924
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01827 | RI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831219443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 MAPLEWOOD DR",
"city": "LINCOLN",
"state": "RI",
"postal_code": "028654526",
"telephone_number": "401-728-8924",
"fax_number": "401-228-7188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "989 RESERVOIR AVE",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029105138",
"telephone_number": "401-944-7556",
"fax_number": "401-228-7188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRASAD",
"first_name": "LES",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "RI",
"license": "01827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cranston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.