Fred Henry Pasquesi, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019014952 Issued in IL

Practice address

7710 W North Ave
Elmwood Park, IL 60707-4123

Phone

(708) 453-6677

NPI assigned

Aug 21, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Confidental Group LLC

  • Dental Clinic/Center
  • Elmwood Park, IL
  • NPI 1376044305
  NPD (past)
• Kudos Dental Care Inc

  • General Practice Dentistry
  • Elmwood Park, IL
  • NPI 1225485113
  NPD (past)

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219276800000",
    "number": "1346497278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 W. NORTH AVE.",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "60707",
            "telephone_number": "708-453-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 W NORTH AVE",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607074123",
            "telephone_number": "708-453-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASQUESI",
        "first_name": "FRED",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-21",
        "last_updated": "2008-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019014952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Panton, M.D.
• Papa Medical Pharmacy Inc.
• Atheefur Rahman Papa, D.D.S.
• Park Place Dental LLC
• Kyuhun Park
• Deepa Cherla Patel, MD
• Adam Pepek, PHARMD
• Matthew David Phillips, MD
• Physiotherapy Associates Inc (Novacare Rehabilitation)
• Seema Pillai, NP

• General Practice Dentistry in Elmwood Park, IL
• Providers in Elmwood Park, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.

Verify at the official NPI Registry.