DR. KYLE R MALESRA (NPI# 1417241779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417241779 |
| Entity Type | Individual |
| Full Name | DR. KYLE R MALESRA |
| Credential | DMD |
| Practice Address |
1370 Cranston St Cranston RI 02920-6758 |
| Practice Telephone | 4019461010 |
| Practice Fax Number | 4019469090 |
| Enumeration Date | 2011-06-04 |
| Last Update Date | 2012-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DEN03164 | RI | Dental Providers |
| Street Address |
1370 CRANSTON ST |
| City | CRANSTON |
| State | RI |
| Zip Code | 02920-6758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619922192 | Lalitha Koduri | Internal Medicine | 1370 Cranston St, Cranston, RI 02920-6758 | 2006-05-23 |
| 1245888650 | Anthony Wayne Paris Jr. | Dietitian, Registered | 1370 Cranston St, Cranston, RI 02920-6758 | 2019-08-28 |
| 1790192540 | Rovati Dental Solutions | Clinic/Center | 1370 Cranston St, Cranston, RI 02920-6758 | 2014-07-14 |
| 1770837015 | Kobad B Malesra Dds | Dentist | 1370 Cranston St, Cranston, RI 02920-6758 | 2012-11-08 |
| 1770742322 | Pediatrics and Pediatric Nephrology | Clinic/Center | 1370 Cranston St, Cranston, RI 02920-6758 | 2008-06-07 |
| 1255419602 | Amrut R Patel | Internal Medicine | 1370 Cranston St, Cranston, RI 02920-6758 | 2006-11-02 |
| 1598840548 | Joseph Anthony Dilorenzo | Internal Medicine | 1370 Cranston St, West Bay Medical Center, Cranston, RI 02920-6758 | 2006-10-26 |
| 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 | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619275914 | Rhode Island Family Dental | Dentist | 465 Reservoir Ave, Cranston, RI 02910-1728 | 2011-03-10 |
| 1861669079 | Gregory R. Bender, Dmd, LLC | Dentist | 1127 Park Ave, Cranston, RI 02910-3145 | 2008-05-15 |
| 1225241953 | Stephen J Puerini Dmd and Steven J Saccoccio Dmd PC | Dentist | 115 Budlong Road, Cranston, RI 02920 | 2007-05-08 |
| 1710108089 | Daniel Vincent Tramonti Jr. | Dentist | 1908 Broad St, Cranston, RI 02905-3509 | 2007-05-02 |
| 1356562540 | Franklin Joseph Marinelli | Dentist | 111 Howard Ave., Cranston, RI 02920 | 2007-05-02 |
| 1982824801 | Jeeyeoun Park | Dentist | 770 Reservoir Ave, Cranston, RI 02910-4449 | 2007-04-26 |
| 1720108129 | Steven A Fazzini Dmd Inc | Dentist | 2000 Chapel View Blvd, Suite #370, Cranston, RI 02920-3078 | 2007-03-30 |
| 1508900051 | Clayton G. Hazelton Dmd PC | Dentist | 1029 Reservoir Ave, Cranston, RI 02910-5134 | 2007-02-17 |
| 1487703658 | Karen M Mega | Dentist | 567 Reservoir Ave, Cranston, RI 02910 | 2007-01-09 |
| 1871640268 | John Salvatore Carroccia | Dentist | 136 Phenix Ave, Cranston, RI 02920-4259 | 2007-01-05 |
| Find all providers in CRANSTON | ||||
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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.