NPIMap

Organization Active NPI

Paul W. Harr, D.D.S., Inc.

  • Dental Clinic/Center
  • Paulding, OH
National Provider Identifier
1356787121
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
30. 01490 Issued in OH
Legal business name
PAUL W. HARR, D.D.S., INC.
Practice address
721 Tom Tim Dr
Paulding, OH 45879-9245
Phone
(419) 399-5211
Fax
(419) 399-5545
NPI assigned
May 20, 2013
Last updated
May 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Authorized official

Name
Mrs. Holly Vance
Title
Receptionist
Phone
(419) 399-5211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 30. 01490 OH Primary

Addresses

Primary practice location

721 Tom Tim Dr
Paulding, OH 45879-9245

Mailing address

721 Tom Tim Dr
Paulding, OH 45879-9245
Phone (419) 399-5211

Other identifiers 1

IdentifierTypeStateIssuer
0207298MedicaidOH

National Provider Directory

National Provider Directory

Locations

721 Tom Tim Dr
Paulding, OH 45879
Phone (419) 399-5211

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369008000000",
    "number": "1356787121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 TOM TIM DR",
            "city": "PAULDING",
            "state": "OH",
            "postal_code": "458799245",
            "telephone_number": "419-399-5211",
            "fax_number": "419-399-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 TOM TIM DR",
            "city": "PAULDING",
            "state": "OH",
            "postal_code": "458799245",
            "telephone_number": "419-399-5211",
            "fax_number": "419-399-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL W. HARR, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-20",
        "last_updated": "2013-05-20",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "419-399-5211",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OH",
            "license": "30. 01490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0207298",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paulding, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.