Active NPI
Dale Robert Pavlik, CO
- Orthotist
- Pittsburgh, PA
National Provider Identifier
1326574997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- OH000014
- Practice address
- 25 Old Clairton Rd
Pittsburgh, PA 15236-3912 - Phone
- (412) 532-7500
- NPI assigned
- May 2, 2017
- 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 |
|---|---|---|---|---|
| Orthotist | 222Z00000X | OH000014 | PA | Primary |
Addresses
Primary practice location
25 Old Clairton Rd
Pittsburgh, PA 15236-3912
Mailing address
25 Old Clairton Rd
Pittsburgh, PA 15236-3912
Phone (412) 532-7500
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 |
|---|---|---|---|
| OH000014 | PA | MD | Orthotist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NPI 1700123833 | Past | Accepting new patients |
Organizations & group practices 1
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 1700123833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493683200000",
"number": "1326574997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 OLD CLAIRTON RD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152363912",
"telephone_number": "412-532-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 OLD CLAIRTON RD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152363912",
"telephone_number": "412-532-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAVLIK",
"first_name": "DALE",
"middle_name": "ROBERT",
"credential": "CO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-02",
"last_updated": "2017-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "PA",
"license": "OH000014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.