J. Douglas Paulus D.D.S. Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

3001447 Issued in OH

Legal business name

J. DOUGLAS PAULUS D.D.S. INC.

Practice address

711 Lincoln Way E
Massillon, OH 44646-6829

Phone

(330) 833-4746

Fax

(330) 832-9928

NPI assigned

Oct 23, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jon Douglas Paulus, D.D.S.NPI 1528169455

Title

President/Ceo

Phone

(330) 833-4746

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Jon Douglas Paulus, D.D.S.

  • Dentist
  • Massillon, OH
  • NPI 1528169455
  NPD (past) Authorized official
• Shaun Patrick Doherty, DDS

  • General Practice Dentistry
  • Massillon, OH
  • NPI 1447283056
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457434755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 LINCOLN WAY E",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446466829",
            "telephone_number": "330-833-4746",
            "fax_number": "330-832-9928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 LINCOLN WAY E",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446466829",
            "telephone_number": "330-833-4746",
            "fax_number": "330-832-9928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. DOUGLAS PAULUS D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAULUS",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "330-833-4746",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "3001447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO STATE DENTAL LICENSE",
            "identifier": "30-01447",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Inman, LPN
• Jordan Isla
• Isom Associates, Inc.
• Christina Ivan
• J Danzy Creates LLC
• Jaa Bussey Inc (Developing Opportunities)
• Jackson Township Trustees
• Cortnie Jackson
• Ebony S Jackson
• Sandra Lynn Jackson, COTA

• Dentist in Massillon, OH
• Providers in Massillon, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.