CAROL BONGIOVANNI (NPI# 1184134686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184134686 |
| Entity Type | Individual |
| Full Name | CAROL BONGIOVANNI |
| Credential | DMD |
| Practice Address |
24 Salt Pond Rd Wakefield RI 02879-4314 |
| Mailing Address |
232 Taylor Rd Portsmouth RI 02871-5419 |
| Practice Telephone | 4017839890 |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2017-10-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DEN02692 | RI | Dental Providers |
| Street Address |
24 SALT POND RD |
| City | WAKEFIELD |
| State | RI |
| Zip Code | 02879-4314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366441388 | Frank Albert Dequattro | Dentist | 24 Salt Pond Rd, Suite C1, Wakefield, RI 02879-4314 | 2005-07-20 |
| 1396387437 | Speak Freely, LLC | Clinic/Center | 24 Salt Pond Rd, Wakefield, RI 02879-4314 | 2019-10-10 |
| 1922495134 | Joseph C. Disano Dds LLC | Clinic/Center | 24 Salt Pond Rd, Suite D1, Wakefield, RI 02879-4314 | 2015-04-26 |
| 1780085563 | Andrea Lavigne | Psychologist | 24 Salt Pond Rd, D3, Wakefield, RI 02879-4314 | 2014-09-11 |
| 1265743538 | Sean T. Patrick | Dentist | 24 Salt Pond Rd, Ste F1, Wakefield, RI 02879-4335 | 2010-07-01 |
| 1427385863 | Catherine Hanson | Counselor | 24 Salt Pond Rd, B4, Wakefield, RI 02879-4314 | 2009-11-05 |
| 1922231869 | Jason Eric Laurie | Marriage & Family Therapist | 24 Salt Pond Rd, Suite H3, Wakefield, RI 02879-4314 | 2009-08-26 |
| 1932360666 | P.r.tipirneni,m.d.,inc. | Otolaryngology | 24 Salt Pond Rd, Building H-2, Wakefield, RI 02879-4314 | 2008-06-25 |
| 1255592044 | South County Behavioral Medicine Inc | Psychologist | 24 Salt Pond Rd, Unit D3, Wakefield, RI 02879-4314 | 2008-06-24 |
| 1114126257 | Jayson Spas | Marriage & Family Therapist | 24 Salt Pond Rd, Suite D-4, Wakefield, RI 02879-4314 | 2007-07-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831549435 | Bh Brightview Commons Opco, LLC | Alzheimer Center (Dementia Center) | 57 Grandeville Court, Wakefield, RI 02879 | 2016-06-15 |
| 1215392071 | Leslie Healy | Occupational Therapist | 12 Galleon Ct, Wakefield, RI 02879 | 2015-12-22 |
| 1649673799 | Peter Storti | Clinic/Center | 28 Columbia Street, Wakefield, RI 02879 | 2014-10-03 |
| 1285988790 | Silver Spring Health Care Management, Inc. | Physician Assistant | 70 Kenyon Ave Unit 321, Wakefield, RI 02879 | 2012-11-06 |
| 1013271584 | Amy Lee Barker | Speech-Language Pathologist | 213 Robinson Street, Wakefield, RI 02879 | 2012-06-29 |
| 1366708489 | Paige Houlihan | Student in an Organized Health Care Education/Training Program | 91 Rocky Brook Way St, Wakefield, RI 02879 | 2012-04-03 |
| 1639307176 | Perspectives Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 53 Dockray Street, Wakefield, RI 02879 | 2009-06-23 |
| 1649482233 | Marilyn A. Cooney | Speech-Language Pathologist | 307 Curtis Corner Road, Wakefield, RI 02879 | 2007-05-04 |
| 1518184522 | Keeley Therese Dante-card | Registered Nurse | 55 Cherry Lane, Wakefield, RI 02879 | 2007-04-19 |
| 1679799217 | Codac Inc | Peer Specialist | 350 Columbia St, Codac South County, Wakefield, RI 02879 | 2007-04-18 |
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| 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 |
|---|---|---|---|---|
| 1336261171 | Paul D Cashion | Dentist | 45 Patton Ave, Wakefield, RI 02879 | 2007-04-04 |
| 1366441388 | Frank Albert Dequattro | Dentist | 24 Salt Pond Rd, Suite C1, Wakefield, RI 02879-4314 | 2005-07-20 |
| 1346434545 | Orthodontics By Design, P.C. | Dentist | 1 W Water St, Suite 100, Wakefield, MA 01880-2907 | 2007-08-30 |
| 1558572644 | Mary Angelic Gangoy | Dentist | 1 W Water St, Suite 100, Wakefield, MA 01880-2907 | 2007-05-24 |
| 1699800359 | John M Underhill | Dentist | 24 Salt Pond Rd, Suite A-3, Wakefield, RI 02879-4314 | 2007-02-22 |
| 1811098973 | Phillip Bernard Aubin | Dentist | 15 Richardson Ave, Wakefield, MA 01880 | 2006-09-25 |
| 1316048457 | Phillip B Aubin Dds PC | Dentist | 15 Richardson Ave, Wakefield, MA 01880 | 2006-09-25 |
| 1508828088 | Frank A. Dequattro, Dmd | Dentist | 24 Salt Pond Rd, Suite C1, Wakefield, RI 02879-4314 | 2006-04-03 |
| 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 |
| 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 |
| 1306990700 | James L Hurst | Dentist | 137 West Main Rd, Middletown, RI 02842 | 2007-01-22 |
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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.