NPIMap

Organization Active NPI

Pauly Dental LLC

  • Dentist
  • Wichita, KS
National Provider Identifier
1164817243
Registry record updated Apr 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60618 Issued in KS
Legal business name
PAULY DENTAL LLC
Practice address
1035 N Emporia St
Suite 102
Wichita, KS 67214-2944
Phone
(316) 263-0889
Fax
(316) 263-1770
NPI assigned
Apr 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2015

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

Authorized official

Name
Dr. Terra Pauly, DDS
Title
Member
Phone
(316) 285-8755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 60618 KS Primary

Addresses

Primary practice location

1035 N Emporia St
Suite 102
Wichita, KS 67214-2944

Mailing address

1035 N Emporia St
Suite 102
Wichita, KS 67214-2944
Phone (316) 263-0889

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1428192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428192000000",
    "number": "1164817243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 N EMPORIA ST",
            "address_2": "SUITE 102",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672142944",
            "telephone_number": "316-263-0889",
            "fax_number": "316-263-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 N EMPORIA ST",
            "address_2": "SUITE 102",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672142944",
            "telephone_number": "316-263-0889",
            "fax_number": "316-263-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-05",
        "last_updated": "2015-04-05",
        "status": "A",
        "authorized_official_last_name": "PAULY",
        "authorized_official_first_name": "TERRA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "316-285-8755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "KS",
            "license": "60618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2015; 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.