Foundation Dental Center, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

FOUNDATION DENTAL CENTER, PLLC

Practice address

26811 S Bay Dr Ste 200
Bonita Springs, FL 34134-4356

Phone

(239) 946-1881

NPI assigned

Jun 10, 2026

Last updated

Jun 10, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Pasicznyk, DDSNPI 1003127564

Title

Owner

Phone

(239) 946-1881

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Michael Pasicznyk, D.D.S

  • Dentist
  • Bonita Springs, FL
  • NPI 1003127564
  NPD Authorized official

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

{
    "created_epoch": "1781049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1114851797",
    "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": "239-946-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION DENTAL CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-10",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "PASICZNYK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-946-1881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.

Verify at the official NPI Registry.