DR. PAULA S. CRUM D.D.S., M.S.
NPI 1790816874
Dentist - Periodontics in Green Bay, WI

Q: What is Paula Crum's NPI number?

The NPI number for Paula Crum is 1790816874. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Q: What is Paula Crum's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Paula Crum 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.

Active since March 08, 2007PECOS Enrolled

2581 DEVELOPMENT DR, SUITE 204, GREEN BAY, WI 54311(920) 347-2640(920) 347-2641 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Paula S. Crum D.d.s., M.s. NPPES

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

DR. PAULA S. CRUM D.D.S., M.S. (NPI 1790816874) is an individual periodontics provider in Green Bay, Wisconsin, licensed in Wisconsin (3119) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790816874

Entity TypeIndividualFemale

Primary Taxonomy1223P0300X

Provider Legal NameDR. PAULA S. CRUMCredential: D.D.S., M.S.

Location Address2581 DEVELOPMENT DR, SUITE 204Green Bay, WI 54311-4247

Mailing Address2581 Development Dr, Suite 204Green Bay, WI 54311-4247 · (920) 347-2640 · Fax (920) 347-2641

Phone(920) 347-2640

Fax(920) 347-2641

Sole ProprietorYes

Enumeration DateMarch 8, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1790816874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in WI · 3119

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.

2581 DEVELOPMENT DR, Green Bay, WI 54311

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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. Paula S. Crum D.d.s., M.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 54311 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA ROSE BANTLE APNP

Nurse Practitioner