Individual provider Active NPI

Brent Collins Paulus, D.D.S., M.S.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Maumee, OH
National Provider Identifier
1881843936
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
30-02-2795 Issued in OH
Practice address
5665 Monclova Rd
Maumee, OH 43537-1835
Phone
(419) 893-3376
NPI assigned
Sep 13, 2008
Last updated
May 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 10167 CO
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 30-02-2795 OH Primary

Addresses

Primary practice location

5665 Monclova Rd
Maumee, OH 43537-1835

Mailing address

5665 Monclova Rd
Maumee, OH 43537-1835
Phone (419) 893-3376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10167COMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kay & Paulus Orthodontics LLP Orthodontics and Dentofacial Orthopedics CurrentSince May 11, 2025 Accepting new patients
M Jean Kay DDS Inc Orthodontics and Dentofacial Orthopedics PastSince May 11, 2025 Accepting new patients

Locations

5665 Monclova Rd
Maumee, OH 43537
Phone (419) 893-3376

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": "1221264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1881843936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5665 MONCLOVA RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371835",
            "telephone_number": "419-893-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5665 MONCLOVA RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371835",
            "telephone_number": "419-893-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULUS",
        "first_name": "BRENT",
        "middle_name": "COLLINS",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-13",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "10167",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "30-02-2795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.