Individual Healthcare Provider
Shiyuan Mao, DMD
Provider's NPPES record last updated: January 15, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1700464443
- Primary Specialty
- Dentist — Pediatric Dentistry
- Practice Location
- Westerly, Rhode Island
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 8:05 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Dentist
Pediatric Dentistry
Dental Providers
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Taxonomy code 1223P0221X
Provider-Reported License Information
- Dentist (Rhode Island)
- DEN03671
- Dentist (District of Columbia)
- DEN2000475
- Dentist (Connecticut)
- 13933
Practice Locations
Practice Location
130 Granite St Ste C
Westerly, Rhode Island 02891-2461
Phone: (401) 596-8720
Additional Practice Location
24 Salt Pond Rd Ste C
Wakefield, Rhode Island 02879-4314
Phone: (401) 792-4664
Record Information
- Enumeration Date
- April 1, 2021
- Provider's NPPES Record Last Updated
- January 15, 2025
- Certification Date
- January 15, 2025
- NPISignal NPPES Dataset
- August 2026
See Something Wrong?
Incorrect provider information
Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.
Update a record through NPPESSomething wrong with this page?
If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.
Report a display issue