Active NPI
Paul M. Geunes, D.M.D.
- Oral and Maxillofacial Surgery (Dentist)
- North Providence, RI
National Provider Identifier
1730285289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DEN02523
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DEN02523 | Other | RI | DENTAL 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220118000549 | NC | Order and Referring Only - Maxillofacial Surgery | 8123064888 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN02523 | RI | MD | Oral and Maxillofacial Surgery (Dentist) |
| 12436 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ri Dental Surgery & Implants, LTD. | Oral and Maxillofacial Surgery | Current | 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.
-
- Oral and Maxillofacial Surgery (Dentist)
- North Providence, RI
- NPI 1306942867
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.