Paul W Heath, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7146 Issued in KS

Legal business name

PAUL W HEATH, DDS

Practice address

2714 NW Topeka Blvd
Topeka, KS 66617-1147

Phone

(785) 234-5410

Fax

(785) 234-9274

NPI assigned

Apr 24, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Donna I Fulkerson

Title

Office Manager

Phone

(785) 234-5410

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1003250713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2714 NW TOPEKA BLVD",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666171147",
            "telephone_number": "785-234-5410",
            "fax_number": "785-234-9274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2714 NW TOPEKA BLVD",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666171147",
            "telephone_number": "785-234-5410",
            "fax_number": "785-234-9274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL W HEATH, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "FULKERSON",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "785-234-5410",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "7146",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "5363",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100383600B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100095890B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haven Patterson-Brey, COTA/L
• Angela K Patterson-Tetuan, APRN
• Kisha M Patterson
• Nichole Alexis Patton, APRN
• Paul Klenklen O.D., LLC
• Alison L Pauli, PTA
• Daniel N Pauls, M.D.
• Sally Ann Pauzauskie, LSCSW
• Heather K Payne
• Peggy Payne

• General Practice Dentistry in Topeka, KS
• Providers in Topeka, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.