Active NPI
Robert David Pagan, DMD
- Endodontics
- Fredericksburg, VA
National Provider Identifier
1275786477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 0401007843
- Practice address
- 4224 Plank Rd
Fredericksburg, VA 22407-4806 - Phone
- (540) 785-7545
- Fax
- (540) 785-7057
- NPI assigned
- Oct 31, 2008
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 0401007843 | VA | Primary |
Addresses
Primary practice location
4224 Plank Rd
Fredericksburg, VA 22407-4806
Mailing address
4224 Plank Road
Fredericksburg, VA 22407
Phone (540) 785-7545
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401007843 | VA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225411200000",
"number": "1275786477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4224 PLANK ROAD",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "22407",
"telephone_number": "540-785-7545",
"fax_number": "540-785-7057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4224 PLANK RD",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224074806",
"telephone_number": "540-785-7545",
"fax_number": "540-785-7057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGAN",
"first_name": "ROBERT",
"middle_name": "DAVID",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-31",
"last_updated": "2008-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "VA",
"license": "0401007843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.