DR. BART J. PAUL (NPI# 1205972585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205972585 |
| Entity Type | Individual |
| Full Name | DR. BART J. PAUL |
| Credential | DDS |
| Practice Address |
1957 Pawlisch Dr Rockford IL 61112-1067 |
| Practice Telephone | 8153323477 |
| Mailing Telephone | 8153323477 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019.017887 | IL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | UNITED CONCORDIA | 783656 | 01 |
| IL | 1003279 | 05 |
| Street Address |
1957 PAWLISCH DR |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61112-1067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669094041 | Cherryvale Dental Center LLC | Clinic/Center | 1957 Pawlisch Dr, Rockford, IL 61112-1067 | 2020-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215213475 | Matthew Caleb Beary | Physical Therapist | 1545 Temple Lane, Rockford, IL 61112 | 2011-11-01 |
| 1730469206 | Herman Chen | Pharmacist | 2206 Barnes Blvd, Rockford, IL 61112 | 2011-08-27 |
| 1598850273 | Charles W Matty | Dentist | 1855 Daimler Rd, Rockford, IL 61112 | 2006-10-04 |
| 1942317607 | James Edward Nijoka | Dentist | 1855 Daimler Road, Rockford, IL 61112 | 2006-08-25 |
| 1053366591 | Vincent R Facchiano | Optometrist | E265 Cherryvale Mall, Rockford, IL 61112 | 2006-05-23 |
| 1780616029 | Daniel Gordon Thorstenson | Chiropractor | 1877 Daimler Rd, Rockford, IL 61112-1005 | 2006-07-07 |
| 1760800221 | Brock Stephen Field | Chiropractor | 1877 Daimler Rd, Rockford, IL 61112-1005 | 2014-04-02 |
| 1629366489 | Craig Anthony Stear Jr. | Chiropractor | 1877 Daimler Rd, Rockford, IL 61112-1005 | 2011-07-14 |
| 1104931427 | Hulsebus Rockford Chiropractic | Chiropractor | 1877 Daimler Rd, Rockford, IL 61112-1005 | 2006-08-19 |
| 1215958970 | Michael John Hulsebus | Chiropractor | 1877 Daimler Rd, Rockford, IL 61112-1005 | 2006-07-21 |
| Find all providers in zip 61112 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386252344 | Kacie Crowell Green | Dentist | 8900 Walnut St # 459, Rockford, MN 55373-5135 | 2020-07-16 |
| 1730547936 | Perryville Dentist PC | Dentist | 845 S Perryville Rd, Unit 119, Rockford, IL 61108 | 2016-02-02 |
| 1295192144 | Woolery Dental P.C. | Dentist | 5301 E State St Ste 306, Rockford, IL 61108-2390 | 2016-01-23 |
| 1467849679 | Christopher Lee Greenwaldt | Dentist | 845 S Perryville Rd Unit 127, Rockford, IL 61108-4340 | 2015-04-26 |
| 1427463785 | Yong Woo Lee | Dentist | 7310 Walton St, Rockford, IL 61108-4614 | 2014-06-25 |
| 1750624110 | Austriaco Dental Associates LLC | Dentist | 7310 Walton St Ste A, Rockford, IL 61108-4614 | 2013-04-03 |
| 1609173749 | Kathryn Ashley Edgcomb | Dentist | 1376 Reid Farm Rd, Rockford, IL 61107-2679 | 2011-02-25 |
| 1629393962 | Affordable Dentistry Today | Dentist | 5819 E Riverside Blvd # 21, Rockford, IL 61114-4963 | 2010-03-30 |
| 1346563525 | Modern Dental of Rockford LLC | Dentist | 1321 Sandy Hollow Rd, Rockford, IL 61109-2120 | 2010-03-02 |
| 1063667079 | Wilson Dental, PC | Dentist | 610 E. Division, Rockford, MI 49341 | 2008-11-19 |
| Find all providers in ROCKFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.