Pediatric Dental Care of Rhode Island

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DEN03114 Issued in RI

Legal business name

PEDIATRIC DENTAL CARE OF RHODE ISLAND

Practice address

1775 Bald Hill Rd
Warwick, RI 02886-4231

Phone

(401) 825-6062

NPI assigned

Aug 14, 2013

Last updated

Aug 14, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jason Hencler, DMD

Title

Pediatric Dentist/Owner

Phone

(401) 825-6062

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376438400000",
    "number": "1952734949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 BALD HILL RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864231",
            "telephone_number": "401-825-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 BALD HILL RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864231",
            "telephone_number": "401-825-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTAL CARE OF RHODE ISLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-14",
        "last_updated": "2013-08-14",
        "status": "A",
        "authorized_official_last_name": "HENCLER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST/OWNER",
        "authorized_official_telephone_number": "401-825-6062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "RI",
            "license": "DEN03114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Botelho Patterson, MD
• Sadie E Pavao
• Anna Pavlotsky, D.M.D.
• Kevin Edward Pearson, MD
• Katherine Susan Saunders Pecora, MSW, LICSW
• Pediatric Therapy Group of Rhode Island, LLC
• Richard J Pedro, D.O.
• Mayra Ovidia Peguero-Bueno, LMHC
• Grace M Pelletier
• Kimberly Pelletier, LCISW

• Pediatric Dentistry in Warwick, RI
• Providers in Warwick, RI by specialty
• Pediatric Dentistry in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; 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.