Individual provider Active NPI

Paul Joel Maes, DDS MAGD

  • General Practice Dentistry
  • Helena, MT
National Provider Identifier
1831230291
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1545MT Issued in MT
Practice address
2480 Tracy Dr
Helena, MT 59601-4907
Phone
(406) 443-2780
Fax
(406) 443-5902
NPI assigned
Feb 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1545MT MT Primary

Addresses

Primary practice location

2480 Tracy Dr
Helena, MT 59601-4907

Mailing address

2480 Tracy Dr
Helena, MT 59601-4907
Phone (406) 443-2780

Other identifiers 3

IdentifierTypeStateIssuer
11-1111MedicaidMT
5510023OtherMTCHIP
BCBS OF MTOtherMTBLUE CROSS BLUE SHEILD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 25, 2016 through Jan 25, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1545MTMTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
South Hills Dental Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831230291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 TRACY DR",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014907",
            "telephone_number": "406-443-2780",
            "fax_number": "406-443-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 TRACY DR",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014907",
            "telephone_number": "406-443-2780",
            "fax_number": "406-443-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAES",
        "first_name": "PAUL",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "DDS MAGD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "1545MT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11-1111",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIP",
            "identifier": "5510023",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "BCBS OF MT",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.