Organization Active NPI

S. Joseph Pausa, DMD PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Alpharetta, GA
National Provider Identifier
1235379330
Registry record updated Mar 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
10820 Issued in GA
Legal business name
S. JOSEPH PAUSA, DMD PC
Practice address
4895 Windward Pkwy
Suite 102
Alpharetta, GA 30004-3850
Phone
(678) 319-9930
Fax
(678) 319-9927
NPI assigned
Mar 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2009

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

Authorized official

Name
Dr. Sergio J Pausa, DMD
Title
Owner
Phone
(678) 319-9930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 10820 GA Primary

Addresses

Primary practice location

4895 Windward Pkwy
Suite 102
Alpharetta, GA 30004-3850

Mailing address

4895 Windward Pkwy
Suite 102
Alpharetta, GA 30004-3850
Phone (678) 319-9930

National Provider Directory

National Provider Directory

Locations

4895 Windward Pkwy
Ste 102
Alpharetta, GA 30004
Phone (678) 319-9930

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235952000000",
    "number": "1235379330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4895 WINDWARD PKWY",
            "address_2": "SUITE 102",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300043850",
            "telephone_number": "678-319-9930",
            "fax_number": "678-319-9927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4895 WINDWARD PKWY",
            "address_2": "SUITE 102",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300043850",
            "telephone_number": "678-319-9930",
            "fax_number": "678-319-9927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. JOSEPH PAUSA, DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-02",
        "last_updated": "2009-03-02",
        "status": "A",
        "authorized_official_last_name": "PAUSA",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-319-9930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "10820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; 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.