Petra Diagnostics

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2494 Issued in RI

Legal business name

PETRA DIAGNOSTICS

Practice address

350 Kingstown Rd
Suite 203
Narragansett, RI 02882-3262

Phone

(401) 284-3500

Fax

(401) 284-3502

NPI assigned

Aug 26, 2009

Organization subpart

No

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

Authorized official

Name

Lisa W. Tyler, DMDNPI 1972648020

Title

President

Phone

(401) 295-0260

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Lisa W Tyler, D.M.D.

  • Endodontics
  • East Greenwich, RI
  • NPI 1972648020
  NPD (past) Authorized official

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1881827780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 KINGSTOWN RD",
            "address_2": "SUITE 203",
            "city": "NARRAGANSETT",
            "state": "RI",
            "postal_code": "028823262",
            "telephone_number": "401-284-3500",
            "fax_number": "401-284-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 KINGSTOWN RD",
            "address_2": "SUITE 203",
            "city": "NARRAGANSETT",
            "state": "RI",
            "postal_code": "028823262",
            "telephone_number": "401-284-3500",
            "fax_number": "401-284-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETRA DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-295-0260",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "RI",
            "license": "2494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey Elizabeth Paris
• Arthur Hilton Parmentier, M.D.
• Perio Inc
• Perspectives Corporation
• Perspectives Corporation
• Lauren Michelle Piro
• Suzanne D Potter, DPT
• Susan Pratt, LICSW
• Proactive Physical Therapy, Inc.
• Lindsey Caulfield Rambikur, P.T.

• Dental Clinic/Center in Narragansett, RI
• Providers in Narragansett, RI by specialty
• Dental Clinic/Center in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.