BLACKSTONE VALLEY FOOT AND ANKLE INC.
NPI 1720482193
Podiatrist - Foot & Ankle Surgery in Pawtucket, RI

Active since October 14, 2014
345 ARMISTICE BLVD, PAWTUCKET, RI 02861(401) 725-5576(401) 725-2640 Get Directions Write a Review

NPPES record last updated: April 24, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blackstone Valley Foot And Ankle Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLACKSTONE VALLEY FOOT AND ANKLE INC. (NPI 1720482193) is a healthcare organization registered as a foot & ankle surgery in Pawtucket, Rhode Island and active in the NPI registry since October 2014. The organization lists Joseph Kevin Domenico, Owner, as its authorized official.

NPPES Registry Identity

NPI1720482193
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameBLACKSTONE VALLEY FOOT AND ANKLE INC.
Location Address345 ARMISTICE BLVDPawtucket, RI 02861-2429
Mailing Address345 Armistice BlvdPawtucket, RI 02861-2429 · (401) 725-5576 · Fax (401) 725-2640
Fax(401) 725-2640
Organization SubpartNo
Authorized OfficialJoseph Kevin DomenicoOwner · (401) 725-5576
Enumeration DateOctober 14, 2014
Last NPPES UpdateApril 24, 2017
NPI 1720482193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in RI · DPM00327
345 ARMISTICE BLVD, Pawtucket, RI 02861

Other Identifiers 2

Medicare NSC7369700001RI
Medicare PINU400131218RI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist (Foot & Ankle Surgery)
345 ARMISTICE BLVD
PAWTUCKET, RI 02861
Podiatrist (Foot & Ankle Surgery)
345 ARMISTICE BLVD
PAWTUCKET, RI 02861

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blackstone Valley Foot And Ankle Inc.'s NPI number?

The NPI number for Blackstone Valley Foot And Ankle Inc. is 1720482193. It was assigned to this organization in the NPPES registry on October 14, 2014.

Where is Blackstone Valley Foot And Ankle Inc. located?

Blackstone Valley Foot And Ankle Inc. is located at 345 Armistice Blvd, Pawtucket, RI 02861. The listed phone number is (401) 725-5576.

What is Blackstone Valley Foot And Ankle Inc.'s specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Blackstone Valley Foot And Ankle Inc. was last updated on April 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.