Patricia J Panucci, DMD, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

51124 Issued in CA

Practice address

1730 Manhattan Beach Blvd
Suite B
Manhattan Beach, CA 90266-6224

Phone

(310) 379-0006

Fax

(310) 379-7051

NPI assigned

Aug 31, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Dr. Patricia Panucci

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Manhattan Beach, CA
  • NPI 1053707265
  NPD (past) Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235240417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 MANHATTAN BEACH BLVD",
            "address_2": "SUITE B",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666224",
            "telephone_number": "310-379-0006",
            "fax_number": "310-379-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 MANHATTAN BEACH BLVD",
            "address_2": "SUITE B",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666224",
            "telephone_number": "310-379-0006",
            "fax_number": "310-379-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANUCCI",
        "first_name": "PATRICIA",
        "middle_name": "J",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "51124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Norris Ozer, D.D.S.
• Steven Wolff Ozer, D.D.S.
• Palmer Chiropractic
• Christopher L Palmer, D.C.
• Alexander Panis, NP
• Cristy A Pareti, PSYD, LMFT
• Elizabeth Sung Park
• Paige G Parker, MFT
• Karen A Passey I, MPT
• Patel Spine Care Medical Inc (Ocean Spine)

• Orthodontics and Dentofacial Orthopedics Dentistry in Manhattan Beach, CA
• Providers in Manhattan Beach, 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.