Active NPI
Northprovidencepediatrics
- Pediatrics Physician
- North Providence, RI
National Provider Identifier
1992825293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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 DirectoryLocations
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.
-
- Pediatrics Physician
- North Providence, RI
- NPI 1407933419
-
- Physician Assistant
- N Providence, RI
- NPI 1316280548
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.