Kelly Paula, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22068 Issued in FL

Practice address

4390 N Federal Hwy Ste 100
Fort Lauderdale, FL 33308-5215

Phone

(954) 772-5559

NPI assigned

Jul 26, 2016

Last updated

Oct 3, 2023By 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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1487107470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4390 N FEDERAL HWY STE 100",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085215",
            "telephone_number": "954-772-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4390 N FEDERAL HWY STE 100",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085215",
            "telephone_number": "954-772-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULA",
        "first_name": "KELLY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-26",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "22068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Okon Paul-Xavier, LMT
• David Michael Paul, MD
• Marti Paul, CRNA
• Mederline Paul
• Rose Paul
• Pauleena Singh M.D,.P.a
• Anthony Paulino, AT
• Diana Pava, CRNA
• Leah M Pavela-Mullins, LCSW
• Larissa Pavelski Monari

• General Practice Dentistry in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.