Paul Vernon Bahlinger, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D09182 Issued in AZ

Practice address

51 S Brian Mickelsen Pkwy
Cottonwood, AZ 86326-3610

Phone

(928) 639-8132

Fax

(866) 274-8919

NPI assigned

Aug 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: paul.bahlingerdds.p1@direct.ycchs.nextgenshare.com

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.

• Star Dental Institute Inc

  • Dental Clinic/Center
  • Colorado Springs, CO
  • NPI 1881255107
  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1912919432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CATHEDRAL ROCK DR",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863518630",
            "telephone_number": "719-475-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 S BRIAN MICKELSEN PKWY",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863263610",
            "telephone_number": "928-639-8132",
            "fax_number": "866-274-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHLINGER",
        "first_name": "PAUL",
        "middle_name": "VERNON",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D09182",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9885",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1196541",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anfal Atif
• Austin House Inc.
• Carisa Ishisia Authier, PSY.D.
• Ara Beth Avakian, FNP-BC
• Avalos Anesthesia Services Inc.
• Amber Marie Bahm, NP
• Jessica Ballesteros, M.T., M.M.P
• Barnet Dulaney Perkins Eye Center, PC (American Vision Partners)
• Stephanie C Barrow, MA
• Angela Bassett

• General Practice Dentistry in Cottonwood, AZ
• Providers in Cottonwood, 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 Sep 17, 2019; 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.