Dallas Joseph Paul, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D009672 Issued in AZ

Practice address

14815 W Bell Rd Ste 202
Surprise, AZ 85374-7611

Phone

(632) 547-5400

NPI assigned

Jul 20, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1770936171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 N FALCON DR UNIT 97",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952306",
            "telephone_number": "702-305-5836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14815 W BELL RD STE 202",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853747611",
            "telephone_number": "632-547-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "308 N. Pagosa St.",
            "address_purpose": "LOCATION",
            "city": "Pagosa Spring",
            "state": "CO",
            "postal_code": "81147",
            "country_code": "US",
            "telephone_number": "970-507-1300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1468 N Litchfield Rd Ste M1",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853951374",
            "country_code": "US",
            "telephone_number": "480-498-4293",
            "fax_number": "877-725-7443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAUL",
        "first_name": "DALLAS",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00202857",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D009672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pathways Acupuncture, PLLC
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• Patricia a. Kirk DPM, PLLC
• Wanda Sue Patterson, LCPC
• Marie C. Paul, D.P.M.
• Theodora E Paul, D.O.
• Morgan Paulson, SLP-A
• Pearl Pawlak, CDA
• Peak Cardiovascular Associates LLC

• General Practice Dentistry in Surprise, AZ
• Providers in Surprise, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.