Active NPI
Stephen James Falco Jr., DMD
- General Practice Dentistry
- Warren, RI
National Provider Identifier
1932229481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- RI 2255
- Practice address
- 38 State St
Warren, RI 02885-3128 - Phone
- (401) 245-6131
- Fax
- (401) 245-5152
- NPI assigned
- Mar 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | RI 2255 | RI | Primary |
Addresses
Primary practice location
38 State St
Warren, RI 02885-3128
Mailing address
38 State St
Warren, RI 02885-3128
Phone (401) 245-6131
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2701-0 | Other | RI | DELTADENTAL |
| SF00753 | Medicaid | RI |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RI 2255 | RI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephen J Falco Jr DMD PC LTD | General Practice | Past | Accepting new patients |
| Jonathan B. Vane DMD, P.C.. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Warren, RI
- NPI 1801993720
-
- Dental Clinic/Center
- Warren, RI
- NPI 1891944294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1932229481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 STATE ST",
"city": "WARREN",
"state": "RI",
"postal_code": "028853128",
"telephone_number": "401-245-6131",
"fax_number": "401-245-5152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 STATE ST",
"city": "WARREN",
"state": "RI",
"postal_code": "028853128",
"telephone_number": "401-245-6131",
"fax_number": "401-245-5152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALCO",
"first_name": "STEPHEN",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-29",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "RI",
"license": "RI 2255",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTADENTAL",
"identifier": "2701-0",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SF00753",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warren, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.