Individual provider Active NPI

Donald J. Paluska Jr., D.M.D.

  • General Practice Dentistry
  • Salem, OR
National Provider Identifier
1750388062
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7049 Issued in OR
Practice address
1211 Liberty St SE
Salem, OR 97302-4243
Phone
(503) 362-5019
Fax
(503) 316-9135
NPI assigned
Jun 30, 2005
Last updated
Mar 30, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7049 OR Primary

Addresses

Primary practice location

1211 Liberty St SE
Salem, OR 97302-4243

Mailing address

1211 Liberty St SE
Salem, OR 97302-4243
Phone (503) 362-5019

Other names 1

  • Chip Paluska Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150730012364 OR Order and Referring Only - DentistPractitioner - Dentist 1456531391

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7049ORMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Shull Family Dentistry Past Accepting new patients
Donald J. Paluska, Jr., D.M.D., PC General Practice Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333065600000",
    "number": "1750388062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024243",
            "telephone_number": "503-362-5019",
            "fax_number": "503-316-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024243",
            "telephone_number": "503-362-5019",
            "fax_number": "503-316-9135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALUSKA",
        "first_name": "DONALD",
        "middle_name": "J.",
        "name_suffix": "Jr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2012-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "7049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHIP",
            "last_name": "PALUSKA",
            "credential": "D.M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.