Individual provider Active NPI

Kamal Babu Thapaliya

  • Dentist
  • Warwick, RI
National Provider Identifier
1023790219
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN03694 Issued in RI
Practice address
1000 Bald Hill Rd
Warwick, RI 02886-0506
Phone
(469) 739-4258
NPI assigned
Aug 7, 2023
Last updated
Sep 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN03694 RI Primary

Addresses

Primary practice location

1000 Bald Hill Rd
Warwick, RI 02886-0506

Mailing address

675 S Twin Oaks Valley Rd Apt 341
San Marcos, CA 92078-7307
Phone (469) 739-4258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240819001443 RI Order and Referring Only - DentistPractitioner - Dentist 1658819974

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN03694RIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Community Action, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1023790219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 S TWIN OAKS VALLEY RD APT 341",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920787307",
            "telephone_number": "469-739-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BALD HILL RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028860506",
            "telephone_number": "469-739-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAPALIYA",
        "first_name": "KAMAL",
        "middle_name": "BABU",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "RI",
            "license": "DEN03694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.