Active NPI
John Michael Pasicznyk, D.D.S
- Dentist
- Bonita Springs, FL
National Provider Identifier
1003127564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN26020
- Practice address
- 26811 S Bay Dr Ste 200
Bonita Springs, FL 34134-4356 - Phone
- (330) 990-5055
- NPI assigned
- Jun 29, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN26020 | FL | Primary |
Addresses
Primary practice location
26811 S Bay Dr Ste 200
Bonita Springs, FL 34134-4356
Mailing address
26811 S Bay Dr Ste 200
Bonita Springs, FL 34134-4356
Phone (239) 946-1881
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 |
|---|---|---|---|
| DN26020 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foundation Dental Center, PLLC | Dentist | Current | Accepting new patients |
| JP Dental - Keystone LLC | Current | Accepting new patients | |
| Flpl01, PLLC | Dentist | Current | Accepting new patients |
| Northview Dental | Dentist | Past | Accepting new patients |
| Goodwine Dental, LLC | Past | Accepting new patients |
Locations
26811 S Bay Dr
Ste 200
Bonita Springs, FL 34134
Phone (239) 946-1881
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Bonita Springs, FL
- NPI 1558219550
-
- Dentist
- Bonita Springs, FL
- NPI 1114851797
-
- General Practice Dentistry
- Indianapolis, IN
- NPI 1245751486
-
- Dentist
- Indianapolis, IN
- NPI 1396180253
-
- Dental Clinic/Center
- Indianapolis, IN
- NPI 1376218909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773705600000",
"number": "1003127564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26811 S BAY DR STE 200",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341344356",
"telephone_number": "239-946-1881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26811 S BAY DR STE 200",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341344356",
"telephone_number": "330-990-5055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASICZNYK",
"first_name": "JOHN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-29",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN26020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bonita Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.