Organization Active NPI

J.Michael Pepek

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Westfield, MA
National Provider Identifier
1235382342
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
J.MICHAEL PEPEK
Practice address
53 Court St
Westfield, MA 01085-3555
Phone
(413) 562-1112
Fax
(413) 562-2121
NPI assigned
Nov 3, 2008
Last updated
Nov 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

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

Authorized official

Name
J.Michael Pepek, DDS
Title
Doctor
Phone
(413) 562-1112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

53 Court St
Westfield, MA 01085-3555

Mailing address

53 Court St
Westfield, MA 01085-3555
Phone (413) 562-1112

Other identifiers 1

IdentifierTypeStateIssuer
213381OtherMAMASS HEALTH

National Provider Directory

National Provider Directory

Locations

53 Court St
Westfield, MA 01085
Phone (413) 562-1112

NPI Registry JSON

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1235382342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 COURT ST",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010853555",
            "telephone_number": "413-562-1112",
            "fax_number": "413-562-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 COURT ST",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010853555",
            "telephone_number": "413-562-1112",
            "fax_number": "413-562-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.MICHAEL PEPEK",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-03",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "PEPEK",
        "authorized_official_first_name": "J.MICHAEL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "413-562-1112",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS HEALTH",
            "identifier": "213381",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; 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.