Active NPI
Jordana Adina Werba, D.M.D.
- Dentist
- Providence, RI
National Provider Identifier
1932356797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3023
- Practice address
- 655 Broad St
Providence, RI 02907-1444 - Phone
- (401) 751-9050
- Fax
- (401) 861-0873
- NPI assigned
- Aug 25, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 3023 | RI | Primary |
Addresses
Primary practice location
655 Broad St
Providence, RI 02907-1444
Mailing address
655 Broad St
Providence, RI 02907-1444
Phone (401) 751-9050
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3023 | RI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219622400000",
"number": "1932356797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 BROAD ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029071444",
"telephone_number": "401-751-9050",
"fax_number": "401-861-0873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 BROAD ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029071444",
"telephone_number": "401-751-9050",
"fax_number": "401-861-0873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERBA",
"first_name": "JORDANA",
"middle_name": "ADINA",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-25",
"last_updated": "2008-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "RI",
"license": "3023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.