Active NPI
Peter Franklin Pasciucco, DDS
- Prosthodontics
- Hartford, CT
National Provider Identifier
1245446863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 5191
- Practice address
- 80 Seymour St
Hartford Hospital Dental Services
Hartford, CT 06102 - Phone
- (860) 545-2700
- NPI assigned
- May 14, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 5191 | CT | Primary |
Addresses
Primary practice location
80 Seymour St
Hartford Hospital Dental Services
Hartford, CT 06102
Mailing address
Hartford Hospital Professional Services
PO Box 40,000 Dept 634
Hartford, CT 06151-0001
Phone (860) 545-7602
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002051910 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5191 | CT | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217548800000",
"number": "1245446863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HARTFORD HOSPITAL PROFESSIONAL SERVICES",
"address_2": "PO BOX 40,000 DEPT 634",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061510001",
"telephone_number": "860-545-7602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 SEYMOUR ST",
"address_2": "HARTFORD HOSPITAL DENTAL SERVICES",
"city": "HARTFORD",
"state": "CT",
"postal_code": "06102",
"telephone_number": "860-545-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASCIUCCO",
"first_name": "PETER",
"middle_name": "FRANKLIN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-14",
"last_updated": "2008-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "CT",
"license": "5191",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002051910",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.