Roy E. Paulson Jr PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

ROY E. PAULSON JR PC

Doing business as

Casper Children's Dental Clinic

Practice address

102 N. Kenwood St.
Casper, WY 82601-2724

Phone

(307) 266-1997

Fax

(307) 237-4424

NPI assigned

Jun 6, 2007

Last updated

Mar 17, 2015By 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. Roy Edward Paulson, DDSNPI 1104921907

Title

Pediatric Dentist

Phone

(307) 266-1997

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Casper Children's Dental Clinic Doing business as

Tax ID family

Casper Children's Dental Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Roy E. Paulson Jr PC

  dba Casper Childrens Dental Clinic.

  • Pediatric Dentistry
  • Gillette, WY
  • NPI 1821207036
  NPD tax ID

Locations

Practitioners 2

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.

• Roy E Paulson, DDS

  • Pediatric Dentistry
  • Casper, WY
  • NPI 1104921907
  NPD (past) Authorized official
• Ryne Scott Paulson, DDS

  • Dentist
  • Casper, WY
  • NPI 1912336090
  NPD (past)

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1750584173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 N. KENWOOD ST.",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012724",
            "telephone_number": "307-266-1997",
            "fax_number": "307-237-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N. KENWOOD ST.",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012724",
            "telephone_number": "307-266-1997",
            "fax_number": "307-237-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY E. PAULSON JR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "PAULSON",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "307-266-1997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112331900",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS EHR CERTIFICATION",
            "identifier": "A0H1301FUMCMEAT",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casper Children's Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cari W Rothenhoefer, LCSW
• Kevin A Roush, CST FA
• John Elias Roussalis II, DDS MS
• Rowan E Tichenor MD PC
• Sarah J Rowland
• Laura Amanda Roy, MSW, LCSW
• Robert Royse, DPT
• Stuart J Ruben, M.D.
• Nina Orcutt Ruckhaus, MD
• Gina Ruiz, P.T.

• Pediatric Dentistry in Casper, WY
• Providers in Casper, WY by specialty
• Pediatric Dentistry in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.