Mitchell Stuart Pasenkoff, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16711 Issued in MA

Practice address

146 Main St
Suite 2a
Norfolk, MA 02056-1322

Phone

(508) 528-5351

Fax

(508) 541-7410

NPI assigned

Feb 1, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in MA

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

Medicare enrollment (NPD)

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.

• Mitchell Pasenkoff, DMD

  • Dental Clinic/Center
  • Norfolk, MA
  • NPI 1669666913
  NPD (past) Authorized official

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356313746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 MAIN ST",
            "address_2": "SUITE 2A",
            "city": "NORFOLK",
            "state": "MA",
            "postal_code": "020561322",
            "telephone_number": "508-528-5351",
            "fax_number": "508-541-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 MAIN ST",
            "address_2": "SUITE 2A",
            "city": "NORFOLK",
            "state": "MA",
            "postal_code": "020561322",
            "telephone_number": "508-528-5351",
            "fax_number": "508-541-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASENKOFF",
        "first_name": "MITCHELL",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "16711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ejehi Omondiagbe, RN
• Orthopaedic Specialists of Massachusetts, LLC
• Alex Ostrow
• Bermarie A. Ovalles, MSW, LCSW
• Ellen Marie Pagliarulo, PA-C
• Neal R Patel, MD
• Anthony B. Payne, D.M.D.
• Personal Best Physical Therapy of Norfolk LLC
• Phoenix Behavioral Health LLC
• Edward Albert Pollard, MD

• General Practice Dentistry in Norfolk, MA
• Providers in Norfolk, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.