Kaja Puerini, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN02891 Issued in RI

Practice address

36 Bridge Way
Wellone Primary Medical and Dental Care
Pascoag, RI 02859-3131

Phone

(401) 567-0800

Fax

(401) 568-0582

NPI assigned

Apr 25, 2006

Last updated

Jun 4, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Kaja Styczynska Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1972569317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 312",
            "address_2": "WELLONE PRIMARY MEDICAL AND DENTAL CARE",
            "city": "PASCOAG",
            "state": "RI",
            "postal_code": "028590312",
            "telephone_number": "401-567-0800",
            "fax_number": "401-567-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 BRIDGE WAY",
            "address_2": "WELLONE PRIMARY MEDICAL AND DENTAL CARE",
            "city": "PASCOAG",
            "state": "RI",
            "postal_code": "028593131",
            "telephone_number": "401-567-0800",
            "fax_number": "401-568-0582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUERINI",
        "first_name": "KAJA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "RI",
            "license": "DEN02891",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "DEN02891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "KP58677",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAJA",
            "last_name": "STYCZYNSKA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Judith Peloquin, OTRL
• Olin Nicholas Perkins, PA-C
• Jessica Leeanne Pietersen, PA-C
• Stephanie Pinto, NP
• Prominent Medical Supplies
• Nancy Jean Quintiliani, PT
• Maryam Rayani, DMD
• Patricia M Raymond, PH.D.
• Rhode Island CVS Pharmacy, L.L.C. (CVS Pharmacy # 01075)
• Patricia Maria Russo-Magno, MD

• General Practice Dentistry in Pascoag, RI
• Providers in Pascoag, RI by specialty
• General Practice Dentistry in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.