David P. Mastrostefano, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

2567 Issued in RI

Practice address

1090 New London Ave
Cranston, RI 02920-3035

Phone

(401) 943-6311

Fax

(401) 943-2030

NPI assigned

Dec 15, 2005

Last updated

Jul 30, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185753600000",
    "number": "1841276474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 NEW LONDON AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029203035",
            "telephone_number": "401-943-6311",
            "fax_number": "401-943-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 NEW LONDON AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029203035",
            "telephone_number": "401-943-6311",
            "fax_number": "401-943-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTROSTEFANO",
        "first_name": "DAVID",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2007-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "RI",
            "license": "2567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gaiane Martirossian, DA
• Tammika Maselli
• Joseph Anthony Masiello, PA-C
• Kristi Rae Mason, MSPT
• Kimberly Masterson, LMHC
• Rena B Mate, M.D.
• Patricia Marie Mathews, PHARMACIST
• Karen R Mathewson, OTR/L,CHT
• Joseph P. Matrullo, DMD
• Paul J. Matrullo, DDS

• Dentist in Cranston, RI
• Providers in Cranston, RI by specialty
• Dentist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.