Active NPI
Michael Stephen Pagano, DDS
- Dentist
- Glen Allen, VA
National Provider Identifier
1275910978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401415999
- Practice address
- 10120 W Broad St Ste I
Glen Allen, VA 23060-6709 - Phone
- (804) 625-4064
- Fax
- (804) 625-4066
- NPI assigned
- May 1, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401415999 | VA | |
| Dentist | 122300000X | 0401415999 | VA | Primary |
Addresses
Primary practice location
10120 W Broad St Ste I
Glen Allen, VA 23060-6709
Mailing address
10120 W Broad St Ste I
Glen Allen, VA 23060-6709
Phone (804) 625-4064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dentist
- Education
- University of Iowa College of Dentistry, 2015
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10120 W Broad St
Suite I
Glen Allen, VA 23060-6709
Phone (804) 625-4064
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Total Sleep PLLC | Dentist | Current | Accepting new patients |
| Virginia Total Sleep PLLC | Dentist | Current | Accepting new patients |
| United Dental Sleep Medicine, PLLC | Past | Accepting new patients |
Locations
10120 W Broad St
Ste I
Glen Allen, VA 23060
Phone (804) 625-4064
2354 Colony Crossing Pl
Midlothian, VA 23112
Phone (804) 288-6261
Interoperability endpoints
- virginiatotalsleeppllc.michaelpagano@141802.advancedmd-direct.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Glen Allen, VA
- NPI 1235695743
-
- Durable Medical Equipment & Medical Supplies
- Lorton, VA
- NPI 1396217717
-
- Dentist
- Midlothian, VA
- NPI 1497459564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574294400000",
"number": "1275910978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10120 W BROAD ST STE I",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230606709",
"telephone_number": "804-625-4064",
"fax_number": "804-625-4066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10120 W BROAD ST STE I",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230606709",
"telephone_number": "804-625-4064",
"fax_number": "804-625-4066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGANO",
"first_name": "MICHAEL",
"middle_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-01",
"last_updated": "2019-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401415999",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401415999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Allen, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.