Tiffanie Ann Marie Waldeck, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DEN03126 Issued in RI

Practice address

823 Main St
Hope Valley, RI 02832-1920

Phone

(401) 539-2461

NPI assigned

Jun 25, 2010

Last updated

Jul 15, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 RI

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

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: twaldeck@direct.wrhsrhodeisland.nextgenshare.com

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

• Wood River Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hope Valley, RI
  • NPI 1417947383
  Medicare reassignment NPD
• Thames Eye Group, PC

  • Ophthalmology Physician
  • Westerly, RI
  • NPI 1841325818
  NPD (past)

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310688000000",
    "number": "1881905727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 MAIN ST",
            "city": "HOPE VALLEY",
            "state": "RI",
            "postal_code": "028321920",
            "telephone_number": "401-539-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 MAIN ST",
            "city": "HOPE VALLEY",
            "state": "RI",
            "postal_code": "028321920",
            "telephone_number": "401-539-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDECK",
        "first_name": "TIFFANIE",
        "middle_name": "ANN MARIE",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-25",
        "last_updated": "2011-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "RI",
            "license": "DEN03126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South County Family Medicine Inc.
• Spring Street Group Home
• Spurwinkri-Brook Drive
• Judith Anne Strickland, MS, LMFT
• Elisabeth Joy Thompson, M.D.
• Mallory Webster, RN
• Wood River Health Services, Inc.
• Wood River Health Services, Inc.

• Dentist in Hope Valley, RI
• Providers in Hope Valley, 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 15, 2011; 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.