Active NPI
Douglas Martin Pautz, DDS
- General Practice Dentistry
- Blanco, TX
National Provider Identifier
1972623387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11758
- Practice address
- First and Main Street
Blanco, TX 87606-5133 - Phone
- (830) 833-5367
- NPI assigned
- Mar 30, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11758 | TX | Primary |
Addresses
Primary practice location
First and Main Street
Blanco, TX 87606-5133
Mailing address
203 Felps Dr
Blanco, TX 78606-5133
Phone (830) 833-5367
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11758 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972623387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 FELPS DR",
"city": "BLANCO",
"state": "TX",
"postal_code": "786065133",
"telephone_number": "830-833-5367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FIRST AND MAIN STREET",
"city": "BLANCO",
"state": "TX",
"postal_code": "876065133",
"telephone_number": "830-833-5367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAUTZ",
"first_name": "DOUGLAS",
"middle_name": "MARTIN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "11758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blanco, TX
- Thomas F Nohe, PHYSICIAN ASSISTANT
- Benjamin John Oakley, MPA, LP
- Aimee Oldaker, RN
- Jean L Olinger, DM, LCSW
- Todd L Oyler, LCSW
- R L Toms Inc (Live Oak Medical Center)
- R.T. Biggers, Inc. (Biggers Chiropractic Clinics)
- Rolling Hills Eye Care PLLC (Rolling Hills Eye Care)
- Ron S White DDS PA
- Kenneth Lyle Schramm, D.C.
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.