OrganizationActive
Coventry Orthodontic LLC
NPI 1124263884 · Orthodontics and Dentofacial Orthopedics Dentistry · Coventry, RI
Provider details
- NPI number
- 1124263884
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- John Kacewicz, Orthodontist(401) 884-6500
- License
- 2642 (RI)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2435 Nooseneck Hill Rd
Coventry, RI 02816
Phone: (401) 397-9400
Fax: (401) 397-9402
Approximate (ZIP-level) locationGet directions
Mailing address
2435 Nooseneck Hill Rd
Coventry, RI 02816
Other names (DBA / former)
- Other name
- Rhode Island Orthodontic Group
Registry dates
- Enumerated
- 2008-12-10
- Last updated
- 2008-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.