Individual provider Active NPI

Steven A Fazzini, DMD

  • General Practice Dentistry
  • Cranston, RI
National Provider Identifier
1982854139
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN01822 Issued in RI
Practice address
2000 Chapel View Blvd
Suite #370
Cranston, RI 02920-3078
Phone
(401) 943-1412
Fax
(401) 943-2032
NPI assigned
Sep 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN01822 RI Primary

Addresses

Primary practice location

2000 Chapel View Blvd
Suite #370
Cranston, RI 02920-3078

Mailing address

2000 Chapel View Blvd
Suite #370
Cranston, RI 02920-3078
Phone (401) 943-1412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DEN01822RIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Steven a Fazzini DMD Inc General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332201600000",
    "number": "1982854139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 CHAPEL VIEW BLVD",
            "address_2": "SUITE #370",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029203078",
            "telephone_number": "401-943-1412",
            "fax_number": "401-943-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CHAPEL VIEW BLVD",
            "address_2": "SUITE #370",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029203078",
            "telephone_number": "401-943-1412",
            "fax_number": "401-943-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAZZINI",
        "first_name": "STEVEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-24",
        "last_updated": "2012-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "DEN01822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.