Northview Dental

Primary specialty

DentistTaxonomy code 122300000X

License

12011425A Issued in IN

Legal business name

NORTHVIEW DENTAL

Practice address

210 E 91St St Ste a
Indianapolis, IN 46240-1570

Phone

(317) 818-7777

NPI assigned

May 6, 2013

Last updated

May 6, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John M Pasicznyk, D.D.S.NPI 1003127564

Title

Owner

Phone

(317) 818-7777

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Michael Pasicznyk, D.D.S

  • Dentist
  • Bonita Springs, FL
  • NPI 1003127564
  NPD (past) Authorized official

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367798400000",
    "number": "1396180253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E 91ST ST STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401570",
            "telephone_number": "317-818-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E 91ST ST STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401570",
            "telephone_number": "317-818-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHVIEW DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-06",
        "last_updated": "2013-05-06",
        "status": "A",
        "authorized_official_last_name": "PASICZNYK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-818-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12011425A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; 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.