Individual provider Active NPI

Michael Stephen Pagano, DDS

  • Dentist
  • Glen Allen, VA
National Provider Identifier
1275910978
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401415999 Issued in VA
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

Updated by the provider on Nov 21, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200507003110 VA Practitioner - Dentist 6901147453 Reassigns benefits to 1 organization

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
Virginia Total Sleep PLLCGroup PAC ID 9638410186, 3 clinicians

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

OrganizationSpecialtyStatusNew patients
Virginia Total Sleep PLLC Dentist CurrentSince Feb 19, 2019 Accepting new patients
Virginia Total Sleep PLLC Dentist CurrentSince Apr 5, 2020 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.