DR. WALTER RAYMOND SHAGHALIAN (NPI# 1942286497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942286497 |
| Entity Type | Individual |
| Full Name | DR. WALTER RAYMOND SHAGHALIAN |
| Practice Address |
1002 Pawtucket Ave Rumford RI 02916-1704 |
| Practice Telephone | 4014384964 |
| Practice Fax Number | 4014346021 |
| Mailing Telephone | 4014384964 |
| Mailing Fax Number | 4014346021 |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DEN01534 | RI | Dental Providers |
| Street Address |
1002 PAWTUCKET AVE |
| City | RUMFORD |
| State | RI |
| Zip Code | 02916-1704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508841784 | Justin Walter Shaghalian | Dentist | 1002 Pawtucket Ave, Rumford, RI 02916-1704 | 2005-12-12 |
| 1568904571 | Shaghalian Family Dental, LLC | Dentist | 1002 Pawtucket Ave, Rumford, RI 02916-1704 | 2016-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063957231 | Advocare Health Group | Home Health | 1240 Pawtucket Avenue, Rumford, RI 02916 | 2016-12-27 |
| 1427505593 | Olga Raptis | Dentist | Children's Dentistry of East Greenwich, 5700 Post Rd Suite #5, East Greenwich, RI 02916 | 2016-09-07 |
| 1568634004 | Dawn Frances Moten | Family Medicine | 20 Newman Ave #9002, Rumford, RI 02916 | 2008-03-25 |
| 1750609897 | Lauren B Rappoport | Counselor | 225 Newman Ave, East Providence, RI 02916 | 2010-05-13 |
| 1922150630 | Kathleen Carney Larisa | Counselor | 610 Wampanoag Trail, East Providence, RI 02916 | 2007-01-16 |
| 1063558443 | Ronald Raymond Ricco | Obstetrics & Gynecology | 25 Circle Street, Rumford, RI 02916-1004 | 2007-01-30 |
| 1144523259 | Dawn E Souza | Licensed Practical Nurse | 17 Nimitz Rd, Rumford, RI 02916-1010 | 2010-12-10 |
| 1568017135 | Stephen Creamer | Specialist/Technologist | 9 Taylor Dr, Rumford, RI 02916-1017 | 2019-08-09 |
| 1134598121 | Mary Elisabeth Hannah | Behavioral Analyst | 345 Ferris Ave, Rumford, RI 02916-1033 | 2015-09-19 |
| 1316074685 | The Wolf School | Day Training, Developmentally Disabled Services | 215 Ferris Ave, Rumford, RI 02916-1033 | 2007-02-27 |
| Find all providers in zip 02916 | ||||
| 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 |
|---|---|---|---|---|
| 1093323255 | Courtney Elizabeth Silva | Dentist | 59 Pavilion Ave, Rumford, RI 02916-1216 | 2020-07-14 |
| 1114010899 | Philip John Bretz | Dentist | 210 Lincoln Ave, Rumford, ME 04276-1854 | 2006-10-02 |
| 1710907852 | Michael J. Newman | Dentist | 210 Lincoln Ave., Suite #2, Rumford, ME 04276 | 2006-07-20 |
| 1508841784 | Justin Walter Shaghalian | Dentist | 1002 Pawtucket Ave, Rumford, RI 02916-1704 | 2005-12-12 |
| 1811522063 | Riverside Family Dental, LLC | Dentist | 20 Newman Ave, Rumford, RI 02916-1960 | 2020-03-09 |
| 1518179639 | Philip J. Bretz,d.m.d.,pa. | Dentist | 210 Lincoln Ave., Rumford, ME 04276-1854 | 2007-05-03 |
| 1396751178 | John O. Eastman | Dentist | 225 Newman Ave, Rumford, RI 02916-1218 | 2006-07-31 |
| 1720015407 | Jerrold Cohen | Dentist | 63 Franklin St, Rumford, ME 04276-2043 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023623576 | Christopher Jameson Widdifield | Dentist | 24 Salt Pond Rd Ste D1, South Kingstown, RI 02879-4334 | 2020-09-11 |
| 1346854692 | Justin Marino | Dentist | 6 Blackstone Valley Pl Bldg 3, Lincoln, RI 02865-1179 | 2020-09-03 |
| 1366050734 | James Patrick Underhill | Dentist | 176 Toll Gate Rd Ste 201, Warwick, RI 02886-4480 | 2020-07-21 |
| 1598222689 | American Center for Bioregulatory Medicine and Dentistry | Dentist | 111 Chestnut St Ste 1, Providence, RI 02903-4169 | 2019-02-25 |
| 1558846725 | Riverside Family Dental, LLC | Dentist | 1445 Wampanoag Trl Unit 209, Riverside, RI 02915-1019 | 2018-10-03 |
| 1912481797 | Andrianna Edwards | Dentist | 57 Lorraine Ave, Coventry, RI 02816-6368 | 2018-09-18 |
| 1487134458 | Gian Calandrelli | Dentist | 250 Wampanoag Trl Ste 103, Riverside, RI 02915-2215 | 2018-08-18 |
| 1235616053 | Ronald J. Morton Dmd, PC | Dentist | 1035 Main Ave, Warwick, RI 02886-1939 | 2018-07-24 |
| 1780121350 | Joanne C Lewis Pediatric Dentistry LLC | Dentist | 5700 Post Rd Unit 5, East Greenwich, RI 02818-3455 | 2017-01-20 |
| 1043679004 | Molar Dental, Ltd | Dentist | 572 Smithfield Rd, Unit 17, North Providence, RI 02904-3892 | 2016-02-18 |
| 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.