NPIMap

Organization Active NPI

Pawlus Dental Inc

  • Dentist
  • Columbus, IN
National Provider Identifier
1013134212
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12009682A Issued in IN
Legal business name
PAWLUS DENTAL INC
Practice address
4001 W Goeller Blvd Ste C
Columbus, IN 47201-8309
Phone
(812) 372-8590
Fax
(812) 372-8934
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2013

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

Authorized official

Name
Mr. John G Pawlus, DDSNPI 1710104930
Title
President
Phone
(812) 372-8590

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 12009682A IN Primary

Addresses

Primary practice location

4001 W Goeller Blvd Ste C
Columbus, IN 47201-8309

Mailing address

4001 W Goeller Blvd Ste C
Columbus, IN 47201-8309
Phone (812) 372-8590

National Provider Directory

National Provider Directory

Locations

4001 W Goeller Blvd
Ste C
Columbus, IN 47201
Phone (812) 372-8590

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1013134212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 W GOELLER BLVD STE C",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472018309",
            "telephone_number": "812-372-8590",
            "fax_number": "812-372-8934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 W GOELLER BLVD STE C",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472018309",
            "telephone_number": "812-372-8590",
            "fax_number": "812-372-8934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAWLUS DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "PAWLUS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-372-8590",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IN",
            "license": "12009682A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.