Active NPI
Paul Henry Uliasz, DDS
- Dentist
- Toledo, OH
National Provider Identifier
1386721942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 18911
- Practice address
- 5950 Airport Highway Suite 10
Toledo, OH 43615 - Phone
- (419) 867-9553
- Fax
- (419) 867-6996
- NPI assigned
- Nov 1, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 18911 | MI | Primary |
Addresses
Primary practice location
5950 Airport Highway Suite 10
Toledo, OH 43615
Mailing address
13942 Glenrio Dr
Stealing Heights, MI 48313
Phone (313) 598-3849
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150721001165 | FL | Order and Referring Only - Oral Surgery | 1254644198 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18911 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386721942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13942 GLENRIO DR",
"city": "STEALING HEIGHTS",
"state": "MI",
"postal_code": "48313",
"telephone_number": "313-598-3849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5950 AIRPORT HIGHWAY SUITE 10",
"city": "TOLEDO",
"state": "OH",
"postal_code": "43615",
"telephone_number": "419-867-9553",
"fax_number": "419-867-6996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULIASZ",
"first_name": "PAUL",
"middle_name": "HENRY",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "18911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.