CRANSTON PEDIATRIC DENTISTRY PC (NPI# 1053803825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053803825 |
| Entity Type | Organization |
| Organization Name | CRANSTON PEDIATRIC DENTISTRY PC |
| Practice Address |
67 Phenix Ave Cranston RI 02920-4233 |
| Mailing Address |
64 Pine St Dover MA 02030-2426 |
| Practice Telephone | 6178180573 |
| Mailing Telephone | 6178180573 |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2018-06-06 |
| Authorized Official Name | DR. ATHANASIOS ZAVRAS (PRESIDENT) |
| Authorized Official Telephone | 6178180573 |
| Authorized Official Credential | DDS, MS, DMSC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DEN03342 | RI | Ambulatory Health Care Facilities |
| Street Address |
67 PHENIX AVE |
| City | CRANSTON |
| State | RI |
| Zip Code | 02920-4233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184262198 | Beacon Dental Health Ri, PC | Clinic/Center | Beacon Dental Health Ri, P.C., 1090 New London Avenue, Cranston, RI 02920 | 2019-12-20 |
| 1821642240 | Jaime L Nixon | Dietitian, Registered | 444 Meshanticut Valley Parkway, Apt 37, Cranston, RI 02920 | 2019-07-25 |
| 1164923553 | Codac Inc | Peer Specialist | 3 Regan Ct, Cranston, RI 02920 | 2018-02-22 |
| 1144673096 | Joanne Le | Optometrist | 1400 Oaklawn Ave., Cranston, RI 02920 | 2016-07-15 |
| 1053790733 | Alanna Conley | Speech-Language Pathologist | 45 Sockanosset Cross Rd Ste 100, Cranston, RI 02920 | 2015-05-27 |
| 1114322740 | Nicole Enos | Physical Therapist | 51 Sockanosset Crossroad, Cranston, RI 02920 | 2014-10-24 |
| 1841622313 | Courtney Faiith Oliver | Occupational Therapy Assistant | 150 Midway Road, Suite 173, Cranston, RI 02920 | 2013-08-06 |
| 1386086403 | Sarah Gonzalez | Marriage & Family Therapist | 105 Sockanosset Cross Rd Ste 102, Cranston, RI 02920 | 2013-07-18 |
| 1902246788 | Amanda Lee Zarriello | Physical Medicine & Rehabilitation | 10 Worthington Rd, Cranston, RI 02920 | 2013-06-26 |
| 1962742528 | Yatyee Lee | Counselor | 141 Elmwood Avenue, Cranston, RI 02920 | 2013-02-19 |
| Find all providers in zip 02920 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184262198 | Beacon Dental Health Ri, PC | Clinic/Center | Beacon Dental Health Ri, P.C., 1090 New London Avenue, Cranston, RI 02920 | 2019-12-20 |
| 1659845451 | Comprehensive Community Action, Inc | Clinic/Center | 30 Howard Ave, Cranston, RI 02920-3031 | 2019-01-15 |
| 1003307117 | Cranston Dental Associates, LLC | Clinic/Center | 2000 Chapel View Blvd, Cranston, RI 02920-3078 | 2018-05-24 |
| 1790192540 | Rovati Dental Solutions | Clinic/Center | 1370 Cranston St, Cranston, RI 02920-6758 | 2014-07-14 |
| 1306116959 | Dr Napolitano Inc | Clinic/Center | 915 Oaklawn Ave, Cranston, RI 02920-2638 | 2012-01-12 |
| 1063687119 | Karen M. Mega, Dmd Inc. | Clinic/Center | 567 Reservoir Ave, Cranston, RI 02910-1621 | 2008-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760029425 | Branch Village Dental Associates LLC | Clinic/Center | 501 Great Rd Ste 101, North Smithfield, RI 02896-6833 | 2019-12-02 |
| 1720621733 | Newport Dental Associates P.C. | Clinic/Center | 11 Catherine St Unit D, Newport, RI 02840-3497 | 2019-10-22 |
| 1245894690 | North Providence Dental Associates II LLC | Clinic/Center | 1635 Mineral Spring Ave Ste 201, North Providence, RI 02904-4025 | 2019-04-30 |
| 1912297425 | Reynaldo P Baduya Sr.,dmd | Clinic/Center | 252 Adelaide Avenue, Providence, RI 02907 | 2011-04-18 |
| 1871677583 | Mark S. Bichajian, Dmd, Inc. | Clinic/Center | 708 Warwick Ave, Warwick, RI 02888-2670 | 2006-10-25 |
| 1477545549 | The Providence Community Health Centers, Inc. | Clinic/Center | 355r Prairie Ave, Suite 3, Providence, RI 02905-1961 | 2005-08-16 |
| 1740816271 | Angell Street Dental Associates II | Clinic/Center | 425 Angell St, Providence, RI 02906-4403 | 2020-03-16 |
| 1770133985 | Capitol Hill Ffs LLC | Clinic/Center | 276 Smith St, Providence, RI 02908-4955 | 2019-09-19 |
| 1295382398 | Plum Dental Ri, LLC | Clinic/Center | 880 Main St, East Greenwich, RI 02818-3113 | 2019-08-22 |
| 1720647274 | Millennium Family Dental | Clinic/Center | 314f Pocasset Ave, Providence, RI 02909-4828 | 2019-06-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.