Paul R Sommers DDS SC

Primary specialty

DentistTaxonomy code 122300000X

License

2297 Issued in WI

Legal business name

PAUL R SOMMERS DDS SC

Practice address

121 Oakridge Court
Watertown, WI 53094

Phone

(920) 261-5110

Fax

(920) 261-5735

NPI assigned

Dec 5, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul Richard Sommers, DDSNPI 1487712782

Title

President

Phone

(920) 261-5110

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul Richard Sommers, DDS

  • Dentist
  • Watertown, WI
  • NPI 1487712782
  NPD (past) Authorized official
• Elizabeth Sarah Baumann, DDS

  • General Practice Dentistry
  • Watertown, WI
  • NPI 1366804189
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114085412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 OAKRIDGE COURT",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "53094",
            "telephone_number": "920-261-5110",
            "fax_number": "920-261-5735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 OAKRIDGE COURT",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "53094",
            "telephone_number": "920-261-5110",
            "fax_number": "920-261-5735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL R SOMMERS DDS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOMMERS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-261-5110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "2297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE BADGER",
            "identifier": "33386400",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Osl 1301 Watertown Operating LLC
• Debra Ann Ozbolt, LPN
• Deborah Pacey, P.A.-C
• David G Parkins, MD
• Arjun Patel, MD
• Heidi Pauli, APNP
• Kristy Ann Pauly, 317303-13
• Lauren Ashley Pederson, PA-C
• Shelly Penn, COTA
• Bonnie Kay Peot, LPN

• Dentist in Watertown, WI
• Providers in Watertown, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.