Individual provider Active NPI

Paul M. Geunes, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • North Providence, RI
National Provider Identifier
1730285289
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DEN02523 Issued in RI
Practice address
468 Smithfield Rd
North Providence, RI 02904-4238
Phone
(401) 353-1515
Fax
(401) 353-0005
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DEN02523 RI Primary

Addresses

Primary practice location

468 Smithfield Rd
North Providence, RI 02904-4238

Mailing address

468 Smithfield Rd
North Providence, RI 02904-4238
Phone (401) 353-1515

Other identifiers 1

IdentifierTypeStateIssuer
DEN02523OtherRIDENTAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220118000549 NC Order and Referring Only - Maxillofacial SurgeryPractitioner - Maxillofacial SurgeryPractitioner - Dentist 8123064888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN02523RIMDOral and Maxillofacial Surgery (Dentist)
12436NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ri Dental Surgery & Implants, LTD. Oral and Maxillofacial Surgery CurrentSince Jan 1, 2003 Accepting new patients

Locations

468 Smithfield Rd
North Providence, RI 02904
Phone (401) 353-1515

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730285289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 SMITHFIELD RD",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029044238",
            "telephone_number": "401-353-1515",
            "fax_number": "401-353-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 SMITHFIELD RD",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029044238",
            "telephone_number": "401-353-1515",
            "fax_number": "401-353-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEUNES",
        "first_name": "PAUL",
        "middle_name": "M.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "RI",
            "license": "DEN02523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "DEN02523",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Providence, RI

Sources for this page

Verify at the official NPI Registry.