Peter J Pauly DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

6336 Issued in IA

Legal business name

PETER J PAULY DDS PC

Practice address

400 S Riverview St
Bellevue, IA 52031-1350

Phone

(563) 872-5678

NPI assigned

May 27, 2008

Last updated

May 27, 2008By 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. Peter J Pauly, DDS

Title

Dentist-President

Phone

(563) 872-5678

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Scott Thomas Anderson, DDS PC

  • General Practice Dentistry
  • Bellevue, IA
  • NPI 1356400857
  NPD (past)

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1619135696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S RIVERVIEW ST",
            "city": "BELLEVUE",
            "state": "IA",
            "postal_code": "520311350",
            "telephone_number": "563-872-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S RIVERVIEW ST",
            "city": "BELLEVUE",
            "state": "IA",
            "postal_code": "520311350",
            "telephone_number": "563-872-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER J PAULY DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "PAULY",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST-PRESIDENT",
        "authorized_official_telephone_number": "563-872-5678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IA",
            "license": "6336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150383",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mercy Medical Center-Dubuque
• Andrew J Miller, D.C.
• Alison R Mottet
• Kelly Kay O'Donnell, OTR
• Peter J Pauly, DDS
• Maliyah Powell
• Riverview Chiropractic, Inc.
• Riverview Development Corporation (Mill Valley Care Center)
• Riverview Development Corporation (Mill Valley Care Center)
• Riverview Development Corporation (Sunrise Villa Assisted Living)

• Dental Clinic/Center in Bellevue, IA
• Providers in Bellevue, IA by specialty
• Dental Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.