Pavel I Ivanov DMD Ms PA

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

PAVEL I IVANOV DMD MS PA

Practice address

12866 Biscayne Blvd
North Miami, FL 33181-2007

Phone

(786) 540-1919

NPI assigned

Jan 2, 2020

Organization subpart

No

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

Authorized official

Name

Pavel Ivanov, DMDNPI 1790020824

Title

Owner

Phone

(786) 540-1919

Specialties & licenses 1

Addresses

Other names 2

• IVANOV Orthodontic Experts Doing business as
• IVANOV Orthodontics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pavel Ivanov Ivanov, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • North Miami, FL
  • NPI 1790020824
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577923200000",
    "number": "1306485776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12866 BISCAYNE BLVD",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812007",
            "telephone_number": "786-540-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12866 BISCAYNE BLVD",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812007",
            "telephone_number": "786-540-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAVEL I IVANOV DMD MS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A",
        "authorized_official_last_name": "IVANOV",
        "authorized_official_first_name": "PAVEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-540-1919",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IVANOV Orthodontic Experts",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "IVANOV Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Path Medical, LLC
• Jennifer Ann Pathiyil, OD
• Grace Wai Mun Pau, A.P.
• Paula E Hutchinson DDS
• Paulo Lazaro LCSW LLC
• McKenzi A Payne, PA-C
• PCT Health Corp
• Peace at Mind LLC
• Jaida Jamaria Pearce, PHARMD
• Pediatric Pulmonary Services Inc.

• Orthodontics and Dentofacial Orthopedics Dentistry in North Miami, FL
• Providers in North Miami, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.