S. Jason Pavlik

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN16417 Issued in FL

Legal business name

S. JASON PAVLIK

Doing business as

Pavlik Orthodontics

Practice address

5010 W Newberry Rd
Suite B
Gainesville, FL 32607-5212

Phone

(352) 376-5055

Fax

(352) 376-5054

NPI assigned

Sep 24, 2012

Last updated

Sep 24, 2012By 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

Stephen Jason Pavlik, DMDNPI 1952489924

Title

Owner

Phone

(352) 376-5055

Specialties & licenses 1

Addresses

Other names 1

• Pavlik Orthodontics Doing business as

Locations

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.

• Stephen Jason Pavlik, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Gainesville, FL
  • NPI 1952489924
  NPD (past) Authorized official

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

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348444800000",
    "number": "1235480831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 W NEWBERRY RD",
            "address_2": "SUITE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326075212",
            "telephone_number": "352-376-5055",
            "fax_number": "352-376-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 W NEWBERRY RD",
            "address_2": "SUITE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326075212",
            "telephone_number": "352-376-5055",
            "fax_number": "352-376-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. JASON PAVLIK",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-24",
        "last_updated": "2012-09-24",
        "status": "A",
        "authorized_official_last_name": "PAVLIK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-376-5055",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN16417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pavlik Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Rylak
• Kyle Ryland, DO
• Carly Ryle
• Gloria Ann Ryles
• S-H Opco Gainesville, LLC (Brookdale Gainesville Southwest)
• Sa-PG-Gainesville LLC (Palm Garden of Gainesville)
• Shyamsunder Brindavan Sabat, M.D.
• Fred J Sabback Jr., OT
• Michelle Marie Sabino
• Alvaro Sabogal, RBT

• Orthodontics and Dentofacial Orthopedics Dentistry in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; 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.