Organization Active NPI

Northprovidencepediatrics

  • Pediatrics Physician
  • North Providence, RI
National Provider Identifier
1992825293
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
NORTHPROVIDENCEPEDIATRICS
Practice address
1169 Mineral Spring Ave
North Providence, RI 02904-4102
Phone
(401) 725-3888
Fax
(401) 725-3188
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2013

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

Authorized official

Name
Dr. Doreen Michelle Ciancaglini, M.D.NPI 1407933419
Title
Doctor
Phone
(401) 725-3888

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

1169 Mineral Spring Ave
North Providence, RI 02904-4102

Mailing address

1169 Mineral Spring Ave
North Providence, RI 02904-4102
Phone (401) 725-3888

National Provider Directory

National Provider Directory

Locations

1169 Mineral Spring Ave
North Providence, RI 02904
Phone (401) 725-3888

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377820800000",
    "number": "1992825293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1169 MINERAL SPRING AVE",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029044102",
            "telephone_number": "401-725-3888",
            "fax_number": "401-725-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 MINERAL SPRING AVE",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029044102",
            "telephone_number": "401-725-3888",
            "fax_number": "401-725-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHPROVIDENCEPEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2013-08-30",
        "status": "A",
        "authorized_official_last_name": "CIANCAGLINI",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "401-725-3888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.