NPIMap

Organization Active NPI

Philip Paulsen DDS

  • Dentist
  • Marysville, WA
National Provider Identifier
1407007230
Registry record updated Oct 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4965 Issued in WA
Legal business name
PHILIP PAULSEN DDS
Practice address
4403 76TH St NE
Marysville, WA 98270-3725
Phone
(360) 659-6774
Fax
(360) 653-6495
NPI assigned
Oct 10, 2008
Last updated
Oct 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2008

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

Authorized official

Name
Dr. Philip A Paulsen, DDSNPI 1306885850
Title
Dentist
Phone
(360) 659-6774

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 4965 WA Primary

Addresses

Primary practice location

4403 76TH St NE
Marysville, WA 98270-3725

Mailing address

4403 76TH St NE
Marysville, WA 98270-3725
Phone (360) 659-6774

National Provider Directory

National Provider Directory

Locations

4403 76th St NE
Marysville, WA 98270
Phone (360) 659-6774

Practitioners & affiliated clinicians

Practitioners 2

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": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223596800000",
    "number": "1407007230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 76TH ST NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982703725",
            "telephone_number": "360-659-6774",
            "fax_number": "360-653-6495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 76TH ST NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982703725",
            "telephone_number": "360-659-6774",
            "fax_number": "360-653-6495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP PAULSEN DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-10",
        "last_updated": "2008-10-10",
        "status": "A",
        "authorized_official_last_name": "PAULSEN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "360-659-6774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "4965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; 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.