Paradise Dental Services, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PARADISE DENTAL SERVICES, INC.

Practice address

Wakins BLDG. 125 Middle Rd. Gualo Rai
Saipan, MP 96950-8201

Phone

(670) 789-8201

Fax

(670) 488-1044

NPI assigned

May 29, 2020

Last updated

May 29, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nelson C Krum Jr., DDSNPI 1316948136

Title

Managing Dentist

Phone

(670) 234-4040

Specialties & licenses 1

Addresses

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.

• Nelson Charles Krum Jr., DDS

  • General Practice Dentistry
  • Saipan, MP
  • NPI 1316948136
  NPD Authorized official

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590710400000",
    "number": "1265056881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10001",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "969508901",
            "telephone_number": "670-234-4040",
            "fax_number": "670-488-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WAKINS BLDG. 125 MIDDLE RD. GUALO RAI",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "969508201",
            "telephone_number": "670-789-8201",
            "fax_number": "670-488-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE DENTAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-29",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A",
        "authorized_official_last_name": "KRUM",
        "authorized_official_first_name": "NELSON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGING DENTIST",
        "authorized_official_telephone_number": "670-234-4040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Wellness Center, LLC
• Eucele Isla Pagaduan
• Ronaldo Pagsuyuin, RPT
• Juan B Pangelinan, PA
• Lucy Pangelinan
• Jungsang Park
• Kyeongeun Park
• Soon Ho Park, DDS
• Theodore Robert Parker, R.PH., MPH
• PC Bargain Corporation (St.Veronica)

• Dental Clinic/Center in Saipan, MP
• Providers in Saipan, MP by specialty
• Dental Clinic/Center in Northern Mariana Islands

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; 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.