Active NPI
Paul M Pavloff, DDS
- Dentist
- Hamilton, OH
National Provider Identifier
1114032703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30016594
- Practice address
- 6518 Winford Drive
Hamilton, OH 45011 - Phone
- (513) 867-0619
- Fax
- (513) 867-9400
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 30016594 | OH | Primary |
Addresses
Primary practice location
6518 Winford Drive
Hamilton, OH 45011
Mailing address
6518 Winford Drive
Hamilton, OH 45011
Phone (513) 867-0619
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180518000206 | OH | Order and Referring Only - Dentist | 4587961875 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30016594 | OH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elyse M Schulte DDS LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Fairfield Township, OH
- NPI 1750058277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218585600000",
"number": "1114032703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6518 WINFORD DRIVE",
"city": "HAMILTON",
"state": "OH",
"postal_code": "45011",
"telephone_number": "513-867-0619",
"fax_number": "513-867-9400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6518 WINFORD DRIVE",
"city": "HAMILTON",
"state": "OH",
"postal_code": "45011",
"telephone_number": "513-867-0619",
"fax_number": "513-867-9400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAVLOFF",
"first_name": "PAUL",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2008-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30016594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamilton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.