Individual provider Active NPI

Paul J Essman, DDS

  • Dentist
  • Jackson, OH
National Provider Identifier
1245382845
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
15967 Issued in OH
Practice address
190 Water St
Suite 2
Jackson, OH 45640-1384
Phone
(740) 286-0480
Fax
(740) 286-8968
NPI assigned
Jan 17, 2007
Last updated
Aug 30, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 15967 OH Primary

Addresses

Primary practice location

190 Water St
Suite 2
Jackson, OH 45640-1384

Mailing address

190 Water St
Suite 2
Jackson, OH 45640-1384
Phone (740) 286-0480

Other identifiers 2

IdentifierTypeStateIssuer
0383213MedicaidOH
3142969MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15967OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Holzer Dental Clinic Jackson LLC Dentist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314662400000",
    "number": "1245382845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 WATER ST",
            "address_2": "SUITE 2",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456401384",
            "telephone_number": "740-286-0480",
            "fax_number": "740-286-8968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 WATER ST",
            "address_2": "SUITE 2",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "456401384",
            "telephone_number": "740-286-0480",
            "fax_number": "740-286-8968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESSMAN",
        "first_name": "PAUL",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2011-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "15967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0383213",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3142969",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; 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.