NPI 1407144264 · live from the CMS NPI Registry
Dominic John Roda, D.P.M.
Podiatrist, Foot & Ankle Surgery in Smithfield, RI. National Provider Identifier 1407144264, active.
NPI record
| NPI | 1407144264 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 41 Sanderson Rd, Ste 207, Smithfield, RI 02917 |
| Practice phone | 401-949-3220 |
| Mailing address | 33 Symonds Ave, Warwick, RI 02889 |
| Enumerated | July 14, 2011 |
| Last updated | December 17, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | DPM00342 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.