Active NPI
Paul Dawood, DDS
- Dentist
- Anaheim, CA
National Provider Identifier
1194906412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 43591
- Practice address
- 10722 Katella Ave Ste 2
Anaheim, CA 92804-8104 - Phone
- (714) 956-0857
- Fax
- (714) 956-0885
- NPI assigned
- Nov 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 43591 | CA | Primary |
Addresses
Primary practice location
10722 Katella Ave Ste 2
Anaheim, CA 92804-8104
Mailing address
10722 Katella Ave., Suite 2
Anaheim, CA 92804
Phone (714) 956-0857
Other names 1
- Dr. Paul Dawood
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190918000352 | CA | Practitioner - Oral Surgery | 9133459159 | Practice locations: Garden Grove, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195084800000",
"number": "1194906412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10722 KATELLA AVE., SUITE 2",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "92804",
"telephone_number": "714-956-0857",
"fax_number": "714-956-0885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10722 KATELLA AVE STE 2",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928048104",
"telephone_number": "714-956-0857",
"fax_number": "714-956-0885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWOOD",
"first_name": "PAUL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-15",
"last_updated": "2007-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "43591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PAUL",
"last_name": "DAWOOD",
"prefix": "DR.",
"credential": "DDS",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.