ADOLPH RALPH PADULA DDS NPI 1881671436

NPI Information

NPI: 1881671436
Provider Name: ADOLPH RALPH PADULA, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
1022 LIBERTY LN
PUEBLO, CO
ZIP 81001
Phone: (719) 545-5778
Get Directions

Adolph Ralph Padula, DDS is a general practice dentist in Pueblo, CO. The provider is 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. Adolph Ralph Padula, DDS NPI is 1881671436. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1022 LIBERTY LN
PUEBLO, CO
ZIP 81001-039
Phone: (719) 545-5778
Fax: (719) 545-5783

The enumeration date for this NPI number is 12/26/2005 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	051116	NEW YORK	No
2	1223G0001X	Dentist	General Practice	D-3858	IDAHO	No
3	1223G0001X	Dentist	General Practice	22044	OHIO	No
4	1223G0001X	Dentist	General Practice	12010429A	INDIANA	No
5	1223G0001X	Dentist	General Practice	5641	OKLAHOMA	No
6	1223G0001X	Dentist	General Practice	5641	ARIZONA	No
7	1223G0001X	Dentist	General Practice	4778T	NEVADA	No
8	1223G0001X	Dentist	General Practice	60210	KANSAS	No
9	1223G0001X	Dentist	General Practice	DD2043	NEW MEXICO	No
10	1223G0001X	Dentist	General Practice	1134	WYOMING	No
11	1223G0001X	Dentist	General Practice	21280	MASSACHUSETTS	No
12	1223G0001X	Dentist	General Practice	3209	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	2525048	MEDICAID	OHIO
2	02551637	MEDICAID	NEW YORK
3	703167	MEDICAID	ARIZONA
4	0204889	MEDICAID	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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