NPIMap

Organization Active NPI

Peter E. Paulos, DDS, Ms

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Salt Lake City, UT
National Provider Identifier
1508014127
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
132585 Issued in UT
Legal business name
PETER E. PAULOS, DDS, MS
Practice address
6287 S Redwood Rd
Suite 202
Salt Lake City, UT 84123-6634
Phone
(801) 262-3777
Fax
(801) 262-5356
NPI assigned
Sep 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

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

Authorized official

Name
Dr. Peter E Paulos, DDS, MSNPI 1407913726
Title
President
Phone
(801) 262-3777

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 132585 UT Primary

Addresses

Primary practice location

6287 S Redwood Rd
Suite 202
Salt Lake City, UT 84123-6634

Mailing address

6287 S Redwood Rd
Suite 202
Salt Lake City, UT 84123-6634
Phone (801) 262-3777

National Provider Directory

National Provider Directory

Locations

6287 S Redwood Rd
Ste 202
Taylorsville, UT 84123
Phone (801) 262-3777

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1508014127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6287 S REDWOOD RD",
            "address_2": "SUITE 202",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841236634",
            "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",
            "address_2": "SUITE 202",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841236634",
            "telephone_number": "801-262-3777",
            "fax_number": "801-262-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER E. PAULOS, DDS, MS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-08",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "PAULOS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-262-3777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "UT",
            "license": "132585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.