Organization Active NPI

Mellion & Cappuccino, Inc.

Doing business as Endodontic Associates

  • Endodontics
  • Warwick, RI
National Provider Identifier
1932244076
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
1677 Issued in RI
Legal business name
MELLION & CAPPUCCINO, INC.
Doing business as
Endodontic Associates
Practice address
265 Jefferson Blvd
Warwick, RI 02888-3823
Phone
(401) 732-5454
Fax
(401) 738-5173
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Constance M Laliberte
Title
Business Manager
Phone
(401) 732-5454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 1677 RI Primary

Addresses

Primary practice location

265 Jefferson Blvd
Warwick, RI 02888-3823

Mailing address

265 Jefferson Blvd
Warwick, RI 02888-3823
Phone (401) 732-5454

Other names 1

  • Endodontic Associates Doing business as

National Provider Directory

National Provider Directory

Locations

265 Jefferson Blvd
Warwick, RI 02888
Phone (401) 732-5454

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932244076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 JEFFERSON BLVD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028883823",
            "telephone_number": "401-732-5454",
            "fax_number": "401-738-5173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 JEFFERSON BLVD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028883823",
            "telephone_number": "401-732-5454",
            "fax_number": "401-738-5173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELLION & CAPPUCCINO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LALIBERTE",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "401-732-5454",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "RI",
            "license": "1677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endodontic Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.