NPIMap

Organization Active NPI

Paul Nawiesniak DDS

  • Dental Clinic/Center
  • Lebanon, TN
National Provider Identifier
1225440159
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
9800 Issued in TN
Legal business name
PAUL NAWIESNIAK DDS
Practice address
401 W Main St
Suite 101
Lebanon, TN 37087-3584
Phone
(240) 357-6129
NPI assigned
May 27, 2014
Last updated
May 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2014

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

Authorized official

Name
Dr. Paul J Nawiesniak, DDSNPI 1891800587
Title
Owner
Phone
(301) 694-2640

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 117087 MD
Dental Clinic/Center 261QD0000X 9800 TN Primary

Addresses

Primary practice location

401 W Main St
Suite 101
Lebanon, TN 37087-3584

Mailing address

401 W Main St
Suite 101
Lebanon, TN 37087-3584
Phone (240) 357-6129

National Provider Directory

National Provider Directory

Locations

401 W Main St
Ste 101
Lebanon, TN 37087
Phone (240) 357-6129

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401148800000",
    "number": "1225440159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W MAIN ST",
            "address_2": "SUITE 101",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873584",
            "telephone_number": "240-357-6129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W MAIN ST",
            "address_2": "SUITE 101",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873584",
            "telephone_number": "240-357-6129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL NAWIESNIAK DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-05-27",
        "status": "A",
        "authorized_official_last_name": "NAWIESNIAK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-694-2640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MD",
            "license": "117087",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TN",
            "license": "9800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.