Marijan Pavicic, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19762 Issued in OH

Practice address

19712 W 130TH St
Strongsville, OH 44136-8435

Phone

(440) 878-4444

Fax

(440) 238-0939

NPI assigned

Nov 11, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Mario Pavicic Other name

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Five Points Dentistry

  • General Practice Dentistry
  • Strongsville, OH
  • NPI 1437208501
  NPD (past)
• Merit Dental of Ohio - Nouneh, Inc

  • Dentist
  • Strongsville, OH
  • NPI 1780403691
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226361600000",
    "number": "1053565572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19712 W 130TH ST",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441368435",
            "telephone_number": "440-878-4444",
            "fax_number": "440-238-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19712 W 130TH ST",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441368435",
            "telephone_number": "440-878-4444",
            "fax_number": "440-238-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVICIC",
        "first_name": "MARIJAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-11",
        "last_updated": "2008-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "19762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIO",
            "last_name": "PAVICIC",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hannah Patte
• Eric Jon Patten, O.D.
• Julie Mae Patten, O.D.
• Holly Marie Patterson, APRN FNP-BC
• Jamie Paullin, M.A.,, CCC-SLP
• Ciara Pavkov, BSN, RN
• James Pavkov
• Robert Alan Pavlik Jr., B.A., BC-HIS
• Ross E Pavlik, HAS
• Laura Lynn Paynter, P.C.

• General Practice Dentistry in Strongsville, OH
• Providers in Strongsville, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.