DR. PAUL L. MICHAELIDES D.D.S.
NPI 1306930748
Dentist - Periodontics in Fresno, CA

Active since October 02, 2006PECOS Enrolled
2503 W. SHAW, SUITE 105, FRESNO, CA 93711(155) 922-9450(155) 922-6128 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Paul L. Michaelides D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PAUL L. MICHAELIDES D.D.S. (NPI 1306930748) is an individual periodontics provider in Fresno, California, licensed in California (24486) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306930748
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. PAUL L. MICHAELIDESCredential: D.D.S.
Location Address2503 W. SHAW, SUITE 105Fresno, CA 93711-3309
Mailing Address2503 W. Shaw, Suite 105Fresno, CA 93711-3309 · (155) 922-9450 · Fax (155) 922-6128
Fax(155) 922-6128
Sole ProprietorYes
Enumeration DateOctober 2, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1306930748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in CA · 24486
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
2503 W. SHAW, Fresno, CA 93711

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Paul L. Michaelides D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93711 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Michaelides's NPI number?

The NPI number for Paul Michaelides is 1306930748. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Paul Michaelides located?

Paul Michaelides practices at 2503 W. Shaw Suite 105, Fresno, CA 93711. The listed phone number is (155) 922-9450.

What is Paul Michaelides's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Paul Michaelides enrolled in Medicare?

Yes. Paul Michaelides is registered in the Medicare PECOS enrollment system.

What insurance does Paul Michaelides accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Paul Michaelides as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paul Michaelides was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.