Craig Richard Paul, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DD3412 Issued in NM

Practice address

2000 N Union Ave
Roswell, NM 88201-3209

Phone

(575) 627-0141

Fax

(575) 627-0141

NPI assigned

Jul 5, 2010

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

Enrolled in NM

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Maupin and Brown Dentistry PC

  • General Practice Dentistry
  • Roswell, NM
  • NPI 1376953547
  NPD (past)

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

{
    "created_epoch": "1278288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551571200000",
    "number": "1902118177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 N UNION AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882013209",
            "telephone_number": "575-627-0141",
            "fax_number": "575-627-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N UNION AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882013209",
            "telephone_number": "575-627-0141",
            "fax_number": "575-627-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "CRAIG",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-05",
        "last_updated": "2019-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25439",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD3412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zafar Parvez I, M.D.
• Ray Zarza Pasion, ARNP, NP-C
• Leo Antipatia Pastorfide III, DPT
• Pathology Consultants of New Mexico
• Paul R Whitwam MD PC
• Hannah Paul, DDS
• Melissa Paul, CNM
• Jessie Renale Payne, HIS
• Kimia Pazhoohan, DMD
• Peachtree Village

• General Practice Dentistry in Roswell, NM
• Providers in Roswell, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.