Active NPI
David Meade Paulson, DDS
- General Practice Dentistry
- Punta Gorda, FL
National Provider Identifier
1033294384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12767
- Practice address
- 1900 Tamiami TR
Suite a
Punta Gorda, FL 33950 - Phone
- (941) 505-0577
- Fax
- (941) 505-0578
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12767 | FL | Primary |
Addresses
Primary practice location
1900 Tamiami TR
Suite a
Punta Gorda, FL 33950
Mailing address
1900 Tamiami TR
Suite a
Punta Gorda, FL 33950
Phone (941) 505-0577
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12767 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033294384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 TAMIAMI TR",
"address_2": "SUITE A",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "33950",
"telephone_number": "941-505-0577",
"fax_number": "941-505-0578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 TAMIAMI TR",
"address_2": "SUITE A",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "33950",
"telephone_number": "941-505-0577",
"fax_number": "941-505-0578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULSON",
"first_name": "DAVID",
"middle_name": "MEADE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "12767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Punta Gorda, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.