Brenda G Paulen, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN010235 Issued in GA

Practice address

5180 Roswell Rd NE
South BLDG - Ste 101
Atlanta, GA 30342-2293

Phone

(404) 257-0091

Fax

(404) 843-0264

NPI assigned

Oct 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437233517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 VERNON RIDGE CLOSE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303384236",
            "telephone_number": "770-481-0666",
            "fax_number": "770-481-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5180 ROSWELL RD NE",
            "address_2": "SOUTH BLDG - STE 101",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303422293",
            "telephone_number": "404-257-0091",
            "fax_number": "404-843-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULEN",
        "first_name": "BRENDA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN010235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dara Paul, MD
• Jonathan Paul
• Panchajanya Paul, MD
• Sandra W Paul
• Paulding Medical Supply
• Marie Guenaelle Paulic
• Jessica Paulin, RPH
• Paulina Kaiser, MD LLC
• Esther Paulk, CAA
• Kirk Alan Paulk, M.D.

• General Practice Dentistry in Atlanta, GA
• Providers in Atlanta, GA by specialty
• General Practice Dentistry in Georgia

• 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.

Verify at the official NPI Registry.