Peter E Paulos, D.D.S., M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

132585 Issued in UT

Practice address

6287 S Redwood Rd Ste 202
Salt Lake City, UT 84123-6655

Phone

(801) 262-3777

Fax

(801) 262-5356

NPI assigned

Jan 3, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Peter E. Paulos, DDS, Ms

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Salt Lake City, UT
  • NPI 1508014127
  NPD (past) Authorized official
• Redwood Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Taylorsville, UT
  • NPI 1437922465
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1407913726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6287 S REDWOOD RD STE 202",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841236655",
            "telephone_number": "801-262-3777",
            "fax_number": "801-262-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6287 S REDWOOD RD STE 202",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841236655",
            "telephone_number": "801-262-3777",
            "fax_number": "801-262-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULOS",
        "first_name": "PETER",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "UT",
            "license": "132585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula L. Maloof LCSW, Inc.
• Kristen Pauley, MS
• Claire Paulich
• Nicholas J Paulk, MD
• Leon E Paulos, MD
• Brooke Diane Mariger Paulsen, DNP, FNP-C
• Byron Paulsen, CSW
• Madeline Elizabeth Paulsen
• Nancy C Paulsen, CSW
• Chase E. Paulson, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.