Individual provider Active NPI

Stephen Wilson Paulette, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Harrisonburg, VA
National Provider Identifier
1952397770
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
0401006427 Issued in VA
Practice address
4100 Quarles CT
Harrisonburg, VA 22801-8797
Phone
(540) 432-0609
Fax
(540) 432-9097
NPI assigned
Sep 27, 2005
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
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 0401006427 VA Primary

Addresses

Primary practice location

4100 Quarles CT
Harrisonburg, VA 22801-8797

Mailing address

4100 Quarles CT
Harrisonburg, VA 22801-8797
Phone (540) 432-0609

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
0401006427VAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Dental Team Oral and Maxillofacial Surgery Past Accepting new patients
Massanutten Dental Team and Oral Surgery Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952397770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 QUARLES CT",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228018797",
            "telephone_number": "540-432-0609",
            "fax_number": "540-432-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 QUARLES CT",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228018797",
            "telephone_number": "540-432-0609",
            "fax_number": "540-432-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULETTE",
        "first_name": "STEPHEN",
        "middle_name": "WILSON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0401006427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.