Individual provider Active NPI

David K Fiaschetti, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Middletown, RI
National Provider Identifier
1851499529
Registry record updated Sep 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DEN03045 Issued in RI
Practice address
65 W Main Rd
Middletown, RI 02842-4933
Phone
(401) 848-0070
Fax
(401) 848-2225
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 041673-1 NY
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DEN03045 RI Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN1855045 MA

Addresses

Primary practice location

65 W Main Rd
Middletown, RI 02842-4933

Mailing address

65 W Main Rd
Middletown, RI 02842-4933
Phone (401) 848-0070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090918000537 RI Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 4880740653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral SurgeryAlso: Maxillofacial Surgery
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oral Maxillofacial Surgery and Dental Implant Center PCGroup PAC ID 2961941323, 3 clinicians

Practice addresses (Care Compare)

65 W Main Rd
Middletown, RI 02842-4933
Phone (401) 848-0070

Hospital & facility affiliations

  • Our Lady of Fatima Hospital Hospital, North Providence, RI, CCN 410005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1855045MAMDOral and Maxillofacial Surgery (Dentist)
041673-1NYMDOral and Maxillofacial Surgery (Dentist)
DEN03045RIMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Oral Maxillofacial Surgery and Dental Implant Center PC Oral and Maxillofacial Surgery CurrentSince Aug 1, 2024 Accepting new patients

Locations

65 W Main Rd
Middletown, RI 02842
Phone (401) 848-0070

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251936000000",
    "number": "1851499529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 W MAIN RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028424933",
            "telephone_number": "401-848-0070",
            "fax_number": "401-848-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 W MAIN RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028424933",
            "telephone_number": "401-848-0070",
            "fax_number": "401-848-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIASCHETTI",
        "first_name": "DAVID",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "041673-1",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "RI",
            "license": "DEN03045",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "DN1855045",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, RI

Sources for this page

Verify at the official NPI Registry.