Individual provider Active NPI

Jacquelyn Hadi, DMD

  • General Practice Dentistry
  • East Greenwich, RI
National Provider Identifier
1932768876
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN03509 Issued in RI
Practice address
2580 S County TRL
East Greenwich, RI 02818-1721
Phone
(401) 884-7300
NPI assigned
Jun 12, 2019
Last updated
Jun 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X LP00177 RI
General Practice Dentistry 1223G0001X DN1858908 MA
General Practice Dentistry 1223G0001X DEN03509 RI Primary

Addresses

Primary practice location

2580 S County TRL
East Greenwich, RI 02818-1721

Mailing address

1126 Hartford Ave
Johnston, RI 02919-7109
Phone (401) 519-1940

Other practice location 1

20 S Anguilla Rd Ste 1
Pawcatuck, CT 06379-1447
Phone (860) 599-2505

Other practice location 2

1637 Mineral Spring Ave
North Providence, RI 02904-4042
Phone (401) 519-1940

Other practice location 3

1126 Hartford Ave
Johnston, RI 02919-7109
Phone (401) 519-1940

Other names 1

  • Jacquelynn McWilliams Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190708001703 RI Order and Referring Only - DentistPractitioner - Dentist 8426383837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LP00177RIMDDentist
DN1858908MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Frenchtown Dental Associates LLC General Practice CurrentSince Mar 24, 2024 Accepting new patients
Stonington Dental Associates PLLC PastSince Aug 1, 2019 Accepting new patients
Peter U. Wolff, D.M.D., PC Dentist PastSince Mar 24, 2024 Accepting new patients
Vanderpool Dental Care, LLC PastSince Mar 1, 2021 Accepting new patients

Locations

2580 S County Trl
East Greenwich, RI 02818
Phone (401) 884-7300

Organizations & group practices 4

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": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1932768876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 HARTFORD AVE",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029197109",
            "telephone_number": "401-519-1940",
            "fax_number": "401-351-6613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 S COUNTY TRL",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181721",
            "telephone_number": "401-884-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 S Anguilla Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Pawcatuck",
            "state": "CT",
            "postal_code": "063791447",
            "country_code": "US",
            "telephone_number": "860-599-2505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1637 Mineral Spring Ave",
            "address_purpose": "LOCATION",
            "city": "North Providence",
            "state": "RI",
            "postal_code": "029044042",
            "country_code": "US",
            "telephone_number": "401-519-1940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1126 Hartford Ave",
            "address_purpose": "LOCATION",
            "city": "Johnston",
            "state": "RI",
            "postal_code": "029197109",
            "country_code": "US",
            "telephone_number": "401-519-1940",
            "fax_number": "401-351-6613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HADI",
        "first_name": "JACQUELYN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "RI",
            "license": "LP00177",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1858908",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "DEN03509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELYNN",
            "last_name": "MCWILLIAMS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Greenwich, RI

Sources for this page

Verify at the official NPI Registry.