Mary Sarah Paulowsky Wildey, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

28072 Issued in TX

Practice address

200 W Highway 290 Ste B-201
Dripping Springs, TX 78620-3870

Phone

(512) 607-5300

NPI assigned

Jul 27, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Sarah Paulowsky Rice Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Health Service Agency, Inc.

  • Federally Qualified Health Center (FQHC)
  • Greenville, TX
  • NPI 1871844167
  NPD (past)

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1740536739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W HIGHWAY 290 STE B201",
            "city": "DRIPPING SPRINGS",
            "state": "TX",
            "postal_code": "786204382",
            "telephone_number": "512-607-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W HIGHWAY 290 STE B-201",
            "city": "DRIPPING SPRINGS",
            "state": "TX",
            "postal_code": "786203870",
            "telephone_number": "512-607-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULOWSKY WILDEY",
        "first_name": "MARY",
        "middle_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-27",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "28072",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "28072",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "RICE",
            "middle_name": "PAULOWSKY",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tara K Ortiz, MD
• Pachamama Birth Center
• Jennifer Lynn Parrish, OTR, LCSW
• Amie Lynn Parsons, LPC-A
• Priya A Patel, O.D
• Erica Payne
• Nicole Pazary, PT, DPT
• Sunita Pedarla, M.D,
• Pediatric Neuroscience Institute
• Elizabeth Perot, OT

• All providers in Dripping Springs, TX
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.