Active NPI
Kristen R. Dimarco, DO LTD
- Family Medicine Physician
- Warwick, RI
National Provider Identifier
1962542829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 00503
- Legal business name
- KRISTEN R. DIMARCO, DO LTD
- Practice address
- 215 Toll Gate Rd
Suite 306
Warwick, RI 02886-4458 - Phone
- (401) 738-6565
- Fax
- (401) 738-6599
- NPI assigned
- Feb 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Richard Martin, DO
- Title
- Vice President
- Phone
- (401) 738-6565
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 00503 | RI | Primary |
Addresses
Primary practice location
215 Toll Gate Rd
Suite 306
Warwick, RI 02886-4458
Mailing address
215 Toll Gate Rd
Suite 306
Warwick, RI 02886-4458
Phone (401) 738-6565
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
215 Toll Gate Rd
Ste 306
Warwick, RI 02886
Phone (401) 373-0820
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Warwick, RI
- NPI 1376607168
-
- Family Medicine Physician
- Warwick, RI
- NPI 1487725743
-
- Internal Medicine Physician
- Warwick, RI
- NPI 1093342321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1962542829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 TOLL GATE RD",
"address_2": "SUITE 306",
"city": "WARWICK",
"state": "RI",
"postal_code": "028864458",
"telephone_number": "401-738-6565",
"fax_number": "401-738-6599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 TOLL GATE RD",
"address_2": "SUITE 306",
"city": "WARWICK",
"state": "RI",
"postal_code": "028864458",
"telephone_number": "401-738-6565",
"fax_number": "401-738-6599"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KRISTEN R. DIMARCO, DO LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "RICHARD",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "401-738-6565",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "RI",
"license": "00503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.