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KAMAL BABU THAPALIYA
NPI 1023790219
Dentist in Warwick, RI

Active since August 07, 2023PECOS Enrolled
1000 BALD HILL RD, WARWICK, RI 02886(469) 739-4258 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 7, 2023, Aug 7, 2023 (2 updates tracked since 2023).

About Kamal Babu Thapaliya NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAMAL BABU THAPALIYA (NPI 1023790219) is an individual dentist in Warwick, Rhode Island, licensed in Rhode Island (DEN03694) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023790219
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameKAMAL BABU THAPALIYA
Location Address1000 BALD HILL RDWarwick, RI 02886-0506
Mailing Address675 S Twin Oaks Valley Rd Apt 341San Marcos, CA 92078-7307 · (469) 739-4258
Phone(469) 739-4258
Sole ProprietorYes
Enumeration DateAugust 7, 2023
Last NPPES UpdateSeptember 7, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2023
✔ NPI 1023790219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in RI · DEN03694
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1000 BALD HILL RD, Warwick, RI 02886
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kamal Babu Thapaliya is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02886 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RINKU JAKHAR DMD
Dentist (General Practice)
1000 BALD HILL RD
WARWICK, RI 02886
Kent County (401) 400-4391
KENT SHIRAI
Dentist (General Practice)
1000 BALD HILL RD
WARWICK, RI 02886
Kent County (401) 822-1866
SUNNY SMILE GROUP II LLC
Dentist (General Practice)
1000 BALD HILL RD
WARWICK, RI 02886
Kent County (401) 822-1866
SOO IN AHN DMD
Dentist
1000 BALD HILL RD
WARWICK, RI 02886
Kent County (401) 822-1866
LAURA OLIN
Dentist
1000 BALD HILL RD
WARWICK, RI 02886
Kent County (401) 822-1866
DR. STANLEY CHAN DMD
Dentist
1000 BALD HILL RD
WARWICK, RI 02886
Kent County (401) 822-1866

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kamal Thapaliya's NPI number?

The NPI number for Kamal Thapaliya is 1023790219. It was assigned to this individual provider in the NPPES registry on August 7, 2023.

Where is Kamal Thapaliya located?

Kamal Thapaliya practices at 1000 Bald Hill Rd, Warwick, RI 02886. The listed phone number is (469) 739-4258.

What is Kamal Thapaliya's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kamal Thapaliya enrolled in Medicare?

Yes. Kamal Thapaliya is registered in the Medicare PECOS enrollment system.

What insurance does Kamal Thapaliya accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Kamal Thapaliya as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kamal Thapaliya was last updated on September 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.