WICKFORD ORTHODONTICS (NPI# 1891997490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891997490 |
| Entity Type | Organization |
| Organization Name | WICKFORD ORTHODONTICS |
| Practice Address |
320 Phillips St Suite 202 North Kingstown RI 02852-5149 |
| Practice Telephone | 4012952700 |
| Mailing Telephone | 4012952700 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KELLEY RADTKE (OFFICE MANAGER) |
| Authorized Official Telephone | 4012952700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
RI002894 | RI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | SW60095 | 05 | |
| RI | WO60094 | 05 |
| Street Address |
320 PHILLIPS ST SUITE 202 |
| City | NORTH KINGSTOWN |
| State | RI |
| Zip Code | 02852-5149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861493090 | Lynn Ho | Family Medicine | 320 Phillips St, Ste 102, North Kingstown, RI 02852-5149 | 2005-08-10 |
| 1588042402 | Peace In Mind Counseling, LLC | Community/Behavioral Health | 320 Phillips St, Suite 103, North Kingstown, RI 02852-5166 | 2015-05-12 |
| 1013267715 | Megan Catallozzi | Dentist | 320 Phillips St, Unit 104, North Kingstown, RI 02852-5166 | 2012-09-11 |
| 1891077467 | Kumi Ebihara | Dentist | 320 Phillips St, North Kingstown, RI 02852-5149 | 2011-09-09 |
| 1104124734 | Wickford Family Medicine LLC | Family Medicine | 320 Phillips St, Suite 204, North Kingstown, RI 02852-5149 | 2011-03-07 |
| 1245545599 | Alexandra Dipietro Szabo | Counselor | 320 Phillips St, Suite 103, North Kingstown, RI 02852-5166 | 2010-08-11 |
| 1710187240 | Wickford Orthodontics, LLC | Dentist | 320 Phillips St, Suite 202, North Kingstown, RI 02852-5149 | 2007-07-23 |
| 1881815835 | Jennifer Price Hoskins | Speech-Language Pathologist | 320 Phillips St, Suite 102, North Kingstown, RI 02852-5149 | 2007-05-01 |
| 1346373610 | Mark Steven Barone | Social Worker | 320 Phillips St, North Kingstown, RI 02852 | 2007-03-14 |
| 1699846832 | Jerome Adams | Psychologist | 320 Phillips St, Suite 201, North Kingstown, RI 02852-5149 | 2006-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063037059 | Rhode Island Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4255 Quaker Lane, North Kingstown, RI 02852 | 2020-06-15 |
| 1588216543 | Stop Look & Listen LLC | Counselor | 917 Ten Rod Rd, 917 Ten Rod Rd., North Kingstown, RI 02852 | 2019-07-10 |
| 1841856358 | Carlos Albert Saraiva | Pharmacist | 113 Frenchtown Road, North Kingstown, RI 02852 | 2019-05-10 |
| 1184143851 | Jessica Topitzer | Nurse Practitioner | 426f Scrabbletown Rd., N. Kingstown, RI 02852 | 2017-09-14 |
| 1275074940 | Amanda Kathryn Lennon | Social Worker | 2 Ripple Lane, North Kingstown, RI 02852 | 2017-03-15 |
| 1164975728 | Charlotte Elizabeth Bigg | Dentist | 145 Phillips St, North Kingstown, RI 02852 | 2016-08-01 |
| 1043603913 | Pamela Morelli | Social Worker | 426 Scrabbletown Rd., North Kingstown, RI 02852 | 2015-03-16 |
| 1942691845 | Catherine Cooney | Counselor | 1130 Ten Rod Rd, Ste E305, North Kingstown, RI 02852 | 2015-02-12 |
| 1154753168 | Kenneth N Beaupre | Counselor | 23 Brown St Ste 107, North Kingstown, RI 02852 | 2013-07-31 |
| 1154613909 | Kimberly Micucci | Counselor | 1950 Tower Hill Road, Acute Stabilization Unit, North Kingstown, RI 02852 | 2011-05-12 |
| Find all providers in zip 02852 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710187240 | Wickford Orthodontics, LLC | Dentist | 320 Phillips St, Suite 202, North Kingstown, RI 02852-5149 | 2007-07-23 |
| 1861418063 | Staci Chantelle Paletta | Dentist | 320 Phillips St, Suite 202, North Kingstown, RI 02852-5149 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285966481 | Gordon Orthodontics, Inc. | Dentist | 1171 Main Street, Hope Valley, RI 02832 | 2010-02-12 |
| 1124263884 | Coventry Orthodontic LLC | Dentist | 2435 Nooseneck Hill Rd, Coventry, RI 02816 | 2008-12-10 |
| 1689873952 | Michael Thomas Ferry | Dentist | 599 Pontiac Ave, Cranston, RI 02910-4709 | 2007-07-16 |
| 1417162165 | University Orthodontics | Dentist | 95 Sockanosset Cross Rd, Cranston, RI 02920-5559 | 2007-05-14 |
| 1396950762 | Orthodontic Partners Ltd | Dentist | 1109 Putnam Pike, Chepachet, RI 02814 | 2007-05-11 |
| 1073727095 | Scott Harsfield | Dentist | 1429 Warwick Ave, Warwick, RI 02888-5062 | 2007-05-09 |
| 1336261171 | Paul D Cashion | Dentist | 45 Patton Ave, Wakefield, RI 02879 | 2007-04-04 |
| 1790819985 | Cosmo Haralambidis | Dentist | 59 Phenix Avenue, Cranston, RI 02920-4222 | 2007-03-16 |
| 1396875753 | Robert P. Hayden | Dentist | 5 Crestview Dr, Westerly, RI 02891-2907 | 2007-03-06 |
| 1710028121 | Alan Craig Smith | Dentist | 500 Tollgate Road, Warwick, RI 02886 | 2007-02-09 |
| Find all providers with the same taxonomy | ||||
| City | NORTH KINGSTOWN |
| Zip Code | 02852 |
Please comment or provide details below to improve the information on WICKFORD ORTHODONTICS.
| 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.