Individual provider Active NPI

Paul Barryman Hounshell Jr., DDS

  • Dentist
  • Shelby, NC
National Provider Identifier
1326192022
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
NC5019 Issued in NC
Practice address
209B Patton Dr
Shelby, NC 28150-4658
Phone
(704) 482-7739
NPI assigned
Jan 22, 2007
Reactivated
Sep 12, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NC5019 NC Primary

Addresses

Primary practice location

209B Patton Dr
Shelby, NC 28150-4658

Mailing address

212 Vauxhall Dr
Shelby, NC 28150-4239
Phone (704) 484-6951

Other identifiers 2

IdentifierTypeStateIssuer
8994152MedicaidNC
161651564OtherNCTAX IDENTIFICATION #

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
NC5019NCMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1326192022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 VAUXHALL DR",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504239",
            "telephone_number": "704-484-6951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209B PATTON DR",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504658",
            "telephone_number": "704-482-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUNSHELL",
        "first_name": "PAUL",
        "middle_name": "BARRYMAN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2023-03-07",
        "deactivation_date": "2017-11-20",
        "reactivation_date": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "NC5019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8994152",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION #",
            "identifier": "161651564",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.