Jamison Jon Pawley, DMD MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

44240 Issued in CA

Practice address

175 N Pennsylvania Ave #6
Glendora, CA 91741

Phone

(626) 963-4173

Fax

(626) 963-6573

NPI assigned

Apr 16, 2007

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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083839781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 N PENNSYLVANIA AVE #6",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "91741",
            "telephone_number": "626-963-4173",
            "fax_number": "626-963-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 N PENNSYLVANIA AVE #6",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "91741",
            "telephone_number": "626-963-4173",
            "fax_number": "626-963-6573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWLEY",
        "first_name": "JAMISON",
        "middle_name": "JON",
        "credential": "DMD MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "44240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1681042",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INVISALIGN",
            "identifier": "89794",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nilesh Navin Patel, MD
• Rajan Sunny Patel, PHARMD
• Samir A Patel, D.O.
• Pathways 1 Sober Living
• Patriot DME Inc.
• Jamie Danielle Payne, CATC-I
• PCC Health Services, Inc.
• Diane Helen Peacock, RN
• Virginia Pena, M.S.-IP, B.A.
• Maria Haydee Perez-Melendez, MS

• Orthodontics and Dentofacial Orthopedics Dentistry in Glendora, CA
• Providers in Glendora, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.