Active NPI
Jacquelyn Hadi, DMD
- General Practice Dentistry
- East Greenwich, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DEN03509
- Practice address
- 2580 S County TRL
East Greenwich, RI 02818-1721 - Phone
- (401) 884-7300
- NPI assigned
- Jun 12, 2019
- Last updated
- Jun 9, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190708001703 | RI | Order and Referring Only - Dentist | 8426383837 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP00177 | RI | MD | Dentist |
| DN1858908 | MA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frenchtown Dental Associates LLC | General Practice | Current | Accepting new patients |
| Stonington Dental Associates PLLC | Past | Accepting new patients | |
| Peter U. Wolff, D.M.D., PC | Dentist | Past | Accepting new patients |
| Vanderpool Dental Care, LLC | Past | 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.
-
- General Practice Dentistry
- North Kingstown, RI
- NPI 1215592720
-
- Dentist
- East Greenwich, RI
- NPI 1417105297
-
- Dental Clinic/Center
- Pawcatuck, CT
- NPI 1043707755
-
- Dental Clinic/Center
- Somerset, MA
- NPI 1609265438
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.