NPIMap

Organization Active NPI

Paul J. Matrullo, DDS, PC

  • Periodontics
  • Cranston, RI
National Provider Identifier
1831255405
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
2637 Issued in RI
Legal business name
PAUL J. MATRULLO, DDS, PC
Practice address
1280 Park Ave
Cranston, RI 02910-3033
Phone
(401) 943-0644
Fax
(401) 943-3276
NPI assigned
Dec 28, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Paul J. Matrullo, DDSNPI 1760548333
Title
Owner
Phone
(401) 943-0644

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 1745 RI
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 2839 RI
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 2842 RI
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 2637 RI Primary

Addresses

Primary practice location

1280 Park Ave
Cranston, RI 02910-3033

Mailing address

1280 Park Ave
Cranston, RI 02910-3033
Phone (401) 943-0644

National Provider Directory

National Provider Directory

Locations

1280 Park Ave
Cranston, RI 02910
Phone (401) 395-2100

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1831255405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 PARK AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029103033",
            "telephone_number": "401-943-0644",
            "fax_number": "401-943-3276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 PARK AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029103033",
            "telephone_number": "401-943-0644",
            "fax_number": "401-943-3276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL J. MATRULLO, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MATRULLO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-943-0644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "1745",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "2839",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "2842",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "RI",
            "license": "2637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.