Paul J Maupin, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2615 Issued in NM

Practice address

114 E. 4TH
Ste. #100
Roswell, NM 88201

Phone

(505) 627-0141

Fax

(505) 625-6713

NPI assigned

Aug 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Maupin and Brown Dentistry PC

  • General Practice Dentistry
  • Roswell, NM
  • NPI 1376953547
  NPD
• B and M Dental PLLC

  • General Practice Dentistry
  • McGregor, TX
  • NPI 1780535138
  NPD
• Maupin Dental, LLC

  • General Practice Dentistry
  • Roswell, NM
  • NPI 1679867899
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307318400000",
    "number": "1063526127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 E. 4TH",
            "address_2": "STE. #100",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "88201",
            "telephone_number": "505-627-0141",
            "fax_number": "505-625-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E. 4TH",
            "address_2": "STE. #100",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "88201",
            "telephone_number": "505-627-0141",
            "fax_number": "505-625-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUPIN",
        "first_name": "PAUL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2011-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "2615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13687735",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cristyl Masterson
• Ann M Matakas, FNP-C
• Maupin and Brown Dentistry PC
• Maupin Dental, LLC
• Elizabeth Hudgens Maupin, CCC-SLP
• Maurice W. Geldert OD PA
• Jennifer May, AGNP
• Kayelynn McBeth
• Joy Lane McClain, NBC-HWC
• Katherine McClain

• General Practice Dentistry in Roswell, NM
• Providers in Roswell, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.