Organization Active NPI

Paul Poleman DDS

  • Clinic/Center
  • Lancaster, CA
National Provider Identifier
1336697770
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
28793 Issued in CA
Legal business name
PAUL POLEMAN DDS
Practice address
1355 W Ave J
Lancaster, CA 93534-2935
Phone
(661) 945-8616
NPI assigned
Sep 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Authorized official

Name
Paul Poleman, DDSNPI 1124208913
Title
Owner
Phone
(661) 945-8616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 28793 CA Primary

Addresses

Primary practice location

1355 W Ave J
Lancaster, CA 93534-2935

Mailing address

1355 W Avenue J
Lancaster, CA 93534-2935
Phone (661) 945-8616

National Provider Directory

National Provider Directory

Locations

1355 W Avenue J
Lancaster, CA 93534
Phone (661) 945-8616

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": "1473811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1336697770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 W AVENUE J",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342935",
            "telephone_number": "661-945-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 W AVE J",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342935",
            "telephone_number": "661-945-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL POLEMAN DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "POLEMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-945-8616",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "28793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.