Edith Pallencaoe, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

47404 Issued in CA

Practice address

502 First St
Ste. B
Paso Robles, CA 93446-3742

Phone

(805) 239-9597

Fax

(805) 239-4142

NPI assigned

May 22, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

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.

• Jacob Wood Dental Corporation

  dba Gateway Dental Practice

  • Dentist
  • Paso Robles, CA
  • NPI 1700534898
  NPD (past)
• Kathryn a. McFarland, DDS & Edith M. Pallencaoe, DDS, Inc.

  • General Practice Dentistry
  • Paso Robles, CA
  • NPI 1831260975
  NPD (past)

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242950400000",
    "number": "1083849855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 FIRST ST",
            "address_2": "STE. B",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934463742",
            "telephone_number": "805-239-9597",
            "fax_number": "805-239-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 FIRST ST",
            "address_2": "STE. B",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934463742",
            "telephone_number": "805-239-9597",
            "fax_number": "805-239-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLENCAOE",
        "first_name": "EDITH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-22",
        "last_updated": "2009-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "47404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orion Orthopedics
• Marissa Evon Manos Ott
• Jennifer Owens, MA CCC-SLP
• Trent Allan Owings
• Pacific Eye Surgeons, a California Professional Medical Corporation
• Partnership for the Children of San Luis Obispo Co (Tolosa Childrens Dental Center)
• Paso Robles Counseling and Therapy
• Paso Robles Fire & Emergency Services
• Paso Robles Joint Unified School District
• Taylor Nicole Pecchenino, LMFT

• Dentist in Paso Robles, CA
• Providers in Paso Robles, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; 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.