Active NPI
Joseph Paston
- Dentist
- Port Charlotte, FL
National Provider Identifier
1245678036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN 13327
- Practice address
- 3417 Tamiami TRL Ste E
Port Charlotte, FL 33952-8158 - Phone
- (941) 624-3550
- Fax
- (941) 624-6998
- NPI assigned
- Jun 13, 2013
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN 13327 | FL | Primary |
Addresses
Primary practice location
3417 Tamiami TRL Ste E
Port Charlotte, FL 33952-8158
Mailing address
3280 Tamiami TRL Ste 36
Port Charlotte, FL 33952-8086
Phone (941) 258-4851
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170216002781 | FL | Order and Referring Only - Dentist | 1951684901 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN 13327 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739750400000",
"number": "1245678036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3280 TAMIAMI TRL STE 36",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339528086",
"telephone_number": "941-258-4851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3417 TAMIAMI TRL STE E",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339528158",
"telephone_number": "941-624-3550",
"fax_number": "941-624-6998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASTON",
"first_name": "JOSEPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-13",
"last_updated": "2025-02-17",
"certification_date": "2025-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN 13327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.