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DR. GREGORY S THEBERGE DDS
NPI 1851434070
Dentist - Periodontics in Johnston, RI

Active since February 15, 2007PECOS Enrolled
1740 ATWOOD AVE, JOHNSTON, RI 02919(401) 233-9800(401) 233-9898 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gregory S Theberge Dds NPPES

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

DR. GREGORY S THEBERGE DDS (NPI 1851434070) is an individual periodontics provider in Johnston, Rhode Island, licensed in Rhode Island (DENO2364) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851434070
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. GREGORY S THEBERGECredential: DDS
Location Address1740 ATWOOD AVEJohnston, RI 02919-3214
Mailing Address1740 Atwood AveJohnston, RI 02919-3214 · (401) 233-9800 · Fax (401) 233-9898
Phone(401) 233-9800
Fax(401) 233-9898
Sole ProprietorNo
Enumeration DateFebruary 15, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1851434070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in RI · DENO2364
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
1740 ATWOOD AVE, Johnston, RI 02919
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gregory S Theberge Dds 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 02919 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 3

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

RHODE ISLAND PERIODONTICS
Dentist (Periodontics)
1740 ATWOOD AVE
JOHNSTON, RI 02919
Providence County (401) 233-9800
DR. EDWARD S KATZ DDS
Dentist (Periodontics)
1740 ATWOOD AVE
JOHNSTON, RI 02919
Providence County (401) 233-9800
DR. CHARLES MINH PHAM D.M.D.
Dentist (Periodontics)
1740 ATWOOD AVE
JOHNSTON, RI 02919
Providence County (401) 233-9800

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 Gregory Theberge's NPI number?

The NPI number for Gregory Theberge is 1851434070. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Where is Gregory Theberge located?

Gregory Theberge practices at 1740 Atwood Ave, Johnston, RI 02919. The listed phone number is (401) 233-9800.

What is Gregory Theberge's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Gregory Theberge enrolled in Medicare?

Yes. Gregory Theberge is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gregory Theberge was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.