Active NPI
Robert W Passloff, DMD
- Endodontics
- Taunton, MA
National Provider Identifier
1356471932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 17194
- Practice address
- 154 High Street
Taunton, MA 02780 - Phone
- (508) 880-0801
- Fax
- (508) 880-9180
- NPI assigned
- Mar 6, 2007
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 17194 | MA | Primary |
Addresses
Primary practice location
154 High Street
Taunton, MA 02780
Mailing address
154 High Street
Taunton, MA 02780
Phone (508) 880-0801
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150610001895 | MA | Order and Referring Only - Other (Physician) | 1254652613 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17194 | MA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Root Canal Specailists of Ma.,P.C. | Endodontics | 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.
-
- Endodontics
- Taunton, MA
- NPI 1336262500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444176000000",
"number": "1356471932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "154 HIGH STREET",
"city": "TAUNTON",
"state": "MA",
"postal_code": "02780",
"telephone_number": "508-880-0801",
"fax_number": "508-880-9180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "154 HIGH STREET",
"city": "TAUNTON",
"state": "MA",
"postal_code": "02780",
"telephone_number": "508-880-0801",
"fax_number": "508-880-9180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASSLOFF",
"first_name": "ROBERT",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2015-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MA",
"license": "17194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Taunton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; 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.