Individual provider Active NPI

Dennis L Priolo, MD

  • Diagnostic Radiology Physician
  • Woonsocket, RI
National Provider Identifier
1902819402
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD07730 Issued in RI
Practice address
115 Cass Ave
Hospital Based - Landmark Medical Center
Woonsocket, RI 02895
Phone
(401) 769-4100
Fax
(401) 767-1631
NPI assigned
Aug 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD07730 RI Primary

Addresses

Primary practice location

115 Cass Ave
Hospital Based - Landmark Medical Center
Woonsocket, RI 02895

Mailing address

1840 Mineral Spring Ave
Suite 105
North Providence, RI 02904-7645
Phone (401) 354-4900

Other identifiers 4

IdentifierTypeStateIssuer
3412OtherRIGROUP BLUE SHIELD
31237OtherNEIGHBORHOOD HEALTH GRP
7007112MedicaidRI
405174OtherRIBLUECHIP

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD07730RIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Ri Inc Current Accepting new patients
Medical Imaging Assoc Inc Diagnostic Radiology Past Accepting new patients
Bristol County Open MRI Services Inc. Diagnostic Radiology Past Accepting new patients
Bristol County Open MRI Diagnostic Radiology PastSince Dec 6, 2000 Accepting new patients
Spinnaker Associates Inc Diagnostic Radiology Past Accepting new patients
Northwestern Ri Imaging Center, LLC Diagnostic Radiology Past Accepting new patients

Locations

1180 Hope St
Bristol, RI 02809
Phone (401) 253-8900

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902819402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 MINERAL SPRING AVE",
            "address_2": "SUITE 105",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029047645",
            "telephone_number": "401-354-4900",
            "fax_number": "401-354-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CASS AVE",
            "address_2": "HOSPITAL BASED - LANDMARK MEDICAL CENTER",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "02895",
            "telephone_number": "401-769-4100",
            "fax_number": "401-767-1631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIOLO",
        "first_name": "DENNIS",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "RI",
            "license": "MD07730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BLUE SHIELD",
            "identifier": "3412",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH GRP",
            "identifier": "31237",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7007112",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHIP",
            "identifier": "405174",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woonsocket, 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.

Verify at the official NPI Registry.