Paul M. Chrisman, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2317 Issued in WI

Practice address

960 South Saint Augustine St.
Pulaski, WI 54162

Phone

(920) 822-8111

Fax

(920) 822-2198

NPI assigned

Jan 31, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pulaski Family Dental Care, S.C.

  • Dental Clinic/Center
  • Pulaski, WI
  • NPI 1427195981
  NPD (past) Authorized official

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215074778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 739",
            "address_2": "960 SOUTH SAINT AUGUSTINE ST.",
            "city": "PULASKI",
            "state": "WI",
            "postal_code": "54162",
            "telephone_number": "920-822-8111",
            "fax_number": "920-822-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 SOUTH SAINT AUGUSTINE ST.",
            "city": "PULASKI",
            "state": "WI",
            "postal_code": "54162",
            "telephone_number": "920-822-8111",
            "fax_number": "920-822-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISMAN",
        "first_name": "PAUL",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "2317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Deann Beyer, PT
• Kathryn A Blaser, DPT
• Charmaine Lou Buelow, LPC
• Susan Calewarts
• Choices Counseling LLC
• Eva M Colson, MSW,LCSW
• Patricia A Darling Miller, APNP
• Rachel Ann Demelle
• Bernadette Dervish, RN
• Christina Pelton Fergus, M.D.

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

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.