Individual provider Active NPI

Tania Pauls, MD

  • Surgery Physician
  • Centennial, CO
National Provider Identifier
1184753089
Registry record updated Apr 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
39168 Issued in CO
Practice address
6979 S Holly Cir
Suite 275
Centennial, CO 80112-1577
Phone
(303) 779-9633
Fax
(303) 779-8830
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 39168 CO Primary

Addresses

Primary practice location

6979 S Holly Cir
Suite 275
Centennial, CO 80112-1577

Mailing address

6979 S Holly Cir
Suite 275
Centennial, CO 80112-1577
Phone (303) 779-9633

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39168COMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365638400000",
    "number": "1184753089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6979 S HOLLY CIR",
            "address_2": "SUITE 275",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121577",
            "telephone_number": "303-779-9633",
            "fax_number": "303-779-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6979 S HOLLY CIR",
            "address_2": "SUITE 275",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121577",
            "telephone_number": "303-779-9633",
            "fax_number": "303-779-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULS",
        "first_name": "TANIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2013-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "39168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.