NPIMap

Organization Active NPI

David F Paul OD PC

  • Preferred Provider Organization
  • Warren, MI
National Provider Identifier
1821312281
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
4901002487 Issued in MI
Legal business name
DAVID F PAUL OD PC
Practice address
12415 E 12 Mile Road
Warren, MI 48093-3586
Phone
(586) 573-4477
Fax
(586) 573-0305
NPI assigned
Mar 15, 2010
Last updated
Mar 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2010

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

Authorized official

Name
David F Paul, .O.D.NPI 1144395898
Title
Owner
Phone
(586) 573-4477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 4901002487 MI Primary

Addresses

Primary practice location

12415 E 12 Mile Road
Warren, MI 48093-3586

Mailing address

12415 E 12 Mile Rd
Warren, MI 48093-3586
Phone (586) 573-4477

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1821312281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12415 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933586",
            "telephone_number": "586-573-4477",
            "fax_number": "586-573-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12415 E 12 MILE ROAD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933586",
            "telephone_number": "586-573-4477",
            "fax_number": "586-573-0305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID F PAUL OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-15",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-573-4477",
        "authorized_official_credential": ".O.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MI",
            "license": "4901002487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.