Active NPI
Dennis L Priolo, MD
- Diagnostic Radiology Physician
- Woonsocket, RI
National Provider Identifier
1902819402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD07730
- 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, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3412 | Other | RI | GROUP BLUE SHIELD |
| 31237 | Other | NEIGHBORHOOD HEALTH GRP | |
| 7007112 | Medicaid | RI | |
| 405174 | Other | RI | BLUECHIP |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD07730 | RI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New 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 | Past | 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.
-
- Internal Medicine Physician
- Bristol, RI
- NPI 1538161161
-
- Diagnostic Radiology Physician
- Bristol, RI
- NPI 1841377629
-
- Diagnostic Radiology Physician
- Bristol, RI
- NPI 1588723886
-
- Diagnostic Radiology Physician
- Woonsocket, RI
- NPI 1548340938
-
- Radiology Clinic/Center
- Johnston, RI
- NPI 1881647238
Diagnostic Radiology
-
dba Narragansett Radiology
- Diagnostic Radiology Physician
- Narragansett, RI
- NPI 1851474258
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
- Prime Healthcare Services Landmark LLC (Landmark Medical Center)
- Prime Healthcare Services Landmark LLC (NRI Rehab Mgmt Associates)
- Prime Healthcare Services Landmark LLC (Landmark MC Occupational Medicine Dept. NP)
- Prime Healthcare Services Landmark LLC
- Prime Healthcare Services-Landmark LLC (Landmark Medical Center)
- Barbel Prior, LCDP
- Providence Interventional Pain,LLC
- Charlene Marie Pruenca
- Psychotherapy Services of Ri
- Pulmonary and Sleep Office of New England PC
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.