Individual provider Active NPI

Henry Edward Paris Jr., D.D.S.

  • Endodontics
  • Columbus, GA
National Provider Identifier
1073697439
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
9463 Issued in GA
Practice address
1821 Whittlesey Rd
Suite 100
Columbus, GA 31904-9225
Phone
(706) 324-3636
Fax
(706) 324-3236
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 9463 GA Primary

Addresses

Primary practice location

1821 Whittlesey Rd
Suite 100
Columbus, GA 31904-9225

Mailing address

1821 Whittlesey Rd
Suite 100
Columbus, GA 31904-9225
Phone (706) 324-3636

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

LicenseStateTypeSpecialty
9463GAMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344470400000",
    "number": "1073697439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 WHITTLESEY RD",
            "address_2": "SUITE 100",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049225",
            "telephone_number": "706-324-3636",
            "fax_number": "706-324-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 WHITTLESEY RD",
            "address_2": "SUITE 100",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049225",
            "telephone_number": "706-324-3636",
            "fax_number": "706-324-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARIS",
        "first_name": "HENRY",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2012-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "GA",
            "license": "9463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.