Organization Active NPI

Paulus Orthodontics, Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Alliance, OH
National Provider Identifier
1962525055
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
30-013548 Issued in OH
Legal business name
PAULUS ORTHODONTICS, INC.
Practice address
1604 S Union Ave
Alliance, OH 44601-4349
Phone
(330) 821-4046
Fax
(330) 821-0448
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Dr. William David Paulus, D.D.S.NPI 1700909819
Title
President
Phone
(330) 821-4046

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 30-013548 OH Primary

Addresses

Primary practice location

1604 S Union Ave
Alliance, OH 44601-4349

Mailing address

1604 S Union Ave
Alliance, OH 44601-4349
Phone (330) 821-4046

Other identifiers 1

IdentifierTypeStateIssuer
0507115MedicaidOH

Other names 1

  • William D. Paulus, DDS, Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

1604 S Union Ave
Alliance, OH 44601
Phone (330) 821-4046

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1962525055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 S UNION AVE",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446014349",
            "telephone_number": "330-821-4046",
            "fax_number": "330-821-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 S UNION AVE",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446014349",
            "telephone_number": "330-821-4046",
            "fax_number": "330-821-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULUS ORTHODONTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "PAULUS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-821-4046",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "30-013548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0507115",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "William D. Paulus, DDS, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Alliance, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.