Active NPIIndividual provider

Keisi Ikonomi, DMD

Dentist, General Practice in North Providence, Rhode Island

NPI Number1164103339
Practice location
2148 Mineral Spring Ave, North Providence, RI 02911-1722
Fax
—
Last updated
July 31, 2023

Keisi Ikonomi is a Dentist, General Practice based in North Providence, RI. Keisi Ikonomi practices in North Providence, RI and has the professional credentials of DMD. The NPI Number for Keisi Ikonomi is 1164103339 and holds a License No. DEN03679 (RI). The current practice location address for Keisi Ikonomi is 2148 Mineral Spring Ave, North Providence, RI 02911-1722 and can be reached out via phone at 401-622-6080.

Provider Profile Details

NPI Number
1164103339
Provider Name
Keisi Ikonomi
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
2148 Mineral Spring Ave, North Providence, RI 02911-1722
Phone Number
401-622-6080
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
July 31, 2023
Last Update Date
July 31, 2023
Certification Date
July 6, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
2148 Mineral Spring Ave
North Providence, RI 02911-1722
Zip
02911-1722
Phone Number
401-622-6080
North Providence, RI 02911Get directions →

Provider Business Mailing Address Details

Address
134 Moreland RD
N Weymouth, MA 02191-1738
City
N Weymouth
State
MA
Zip
02191-1738

License Information

License Number
DEN03679
License State
RI
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Keisi Ikonomi, DMD?

The NPI number of Keisi Ikonomi, DMD is 1164103339. It was assigned on July 31, 2023 and is currently active in the NPPES registry.

What is the specialty of Keisi Ikonomi, DMD?

Keisi Ikonomi, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in RI under license number DEN03679.

Where does Keisi Ikonomi, DMD practice?

The practice location is 2148 Mineral Spring Ave, North Providence, RI 02911-1722. The office can be reached at 401-622-6080 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164103339 directly on the NPPES registry website.

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