Individual provider Active NPI

Romeo Ghraieb, DMD

  • General Practice Dentistry
  • Charlestown, RI
National Provider Identifier
1386487692
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN03730 Issued in RI
Practice address
4995 S County TRL
Charlestown, RI 02813-3182
Phone
(401) 364-6300
NPI assigned
Jun 14, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN03730 RI Primary

Addresses

Primary practice location

4995 S County TRL
Charlestown, RI 02813-3182

Mailing address

825 Pontiac Ave Apt 12203
Cranston, RI 02910-5938
Phone (401) 497-7489

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DEN03730RIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Arrowhead Dental Association General Practice PastSince Jun 16, 2024 Accepting new patients
Arrowhead Dental Associates General Practice PastSince Jun 16, 2024 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1386487692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 PONTIAC AVE APT 12203",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029105938",
            "telephone_number": "401-497-7489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4995 S COUNTY TRL",
            "city": "CHARLESTOWN",
            "state": "RI",
            "postal_code": "028133182",
            "telephone_number": "401-364-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHRAIEB",
        "first_name": "ROMEO",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "DEN03730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlestown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.