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NPI · 1114745155 · NPPES-sourced

Boustani Periodontics PC

ActivePeriodontics
NPI Number
1114745155
Type 2 · Organisation
Taxonomy Code
1223P0300X
Contact
(401) 421-1717
Primary practice line
Last Updated
Enumerated
Primary practice addressRI · 02906-4104
40 Elmgrove AveProvidence, RI 02906-4104
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About this NPIWhat this record shows.

NPI 1114745155 is registered to Boustani Periodontics PC, a healthcare organisation classified as "Periodontics" and located at 40 Elmgrove Ave in Providence, Rhode Island. The organisation's authorised official is Gabriel Boustani. The organisation has been enumerated in the NPI registry since 2024.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Boustani Periodontics PC accepts. To confirm in-network status with your specific health plan, contact Boustani Periodontics PC directly at (401) 421-1717.

Frequently asked

Yes. NPI 1114745155 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Periodontics is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (401) 421-1717.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Boustani Periodontics PC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy1223P0300X
Last updated
Enumerated
StatusActive
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