John Das Paul, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

30539 Issued in TX

Practice address

4201 Gaston Ave
#102
Dallas, TX 75246-1400

Phone

(214) 370-8383

NPI assigned

May 23, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Legacy Dental of East Dallas, PLLC

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1538502786
  NPD (past)

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

{
    "created_epoch": "1400803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444867200000",
    "number": "1225440316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 GASTON AVE",
            "address_2": "#102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461400",
            "telephone_number": "214-370-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 GASTON AVE",
            "address_2": "#102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461400",
            "telephone_number": "214-370-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "JOHN",
        "middle_name": "DAS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-23",
        "last_updated": "2015-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30539",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "30539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33907004",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul K. Chafetz, PH.D
• Paul Kinberg, D.P.M., P.a.
• Paul Pierce MD PA
• Paul S. Worrell, D.O., P.a.
• Grant Paul
• Kevin Paul
• Lena Keilani Paul, M.S. CCC-SLP
• Sanu Sara Paul, MD
• Tomin Paul
• Paula C Dobbs-Wiggins MD

• Dentist in Dallas, TX
• Providers in Dallas, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.