Active NPI
John S Paul, DDS
- Dentist
- Kingston, WA
National Provider Identifier
1144338690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE00007341
- Practice address
- 32014 Little Boston Rd NE
Kingston, WA 98346-9734 - Phone
- (360) 297-9601
- Fax
- (360) 297-9614
- NPI assigned
- Aug 25, 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DE00007341 | WA | Primary |
Addresses
Primary practice location
32014 Little Boston Rd NE
Kingston, WA 98346-9734
Mailing address
32014 Little Boston Rd NE
Kingston, WA 98346-9734
Phone (360) 297-9601
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5048186 | Medicaid | WA |
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 |
|---|---|---|---|
| DE00007341 | WA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144338690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32014 LITTLE BOSTON RD NE",
"city": "KINGSTON",
"state": "WA",
"postal_code": "983469734",
"telephone_number": "360-297-9601",
"fax_number": "360-297-9614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32014 LITTLE BOSTON RD NE",
"city": "KINGSTON",
"state": "WA",
"postal_code": "983469734",
"telephone_number": "360-297-9601",
"fax_number": "360-297-9614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAUL",
"first_name": "JOHN",
"middle_name": "S",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE00007341",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5048186",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kingston, WA
- Iris Siobhan Donohue Nosek, OTD, OTR/L
- Courtney Elizabeth Oliver, CDP LMHC
- Rebecca Lobdell Parker, RPH
- Bruce J Patchen, DDS
- Hilary G Patterson, MASTERS
- Peninsula Community Health Services
- Peninsula Community Health Services
- Ricky L Penney, LMP
- Frank V Peters, D.D.S.
- Port Gamble S'Klallam Chemical Dependency Program
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.