NPIMap

Organization Active NPI

Robert E. Pavao,D.D.S. & Kevin P. Kilroy,D.D.S.,P.C.

  • General Practice Dentistry
  • Fall River, MA
National Provider Identifier
1396804498
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17041 Issued in MA
Legal business name
ROBERT E. PAVAO,D.D.S. & KEVIN P. KILROY,D.D.S.,P.C.
Practice address
654 Weetamoe St
Fall River, MA 02720-6124
Phone
(508) 673-2245
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Authorized official

Name
Dr. Kevin Patrick Kilroy, D.D.S.NPI 1164464830
Title
General Partner
Phone
(508) 673-2245

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 17041 MA Primary

Addresses

Primary practice location

654 Weetamoe St
Fall River, MA 02720-6124

Mailing address

654 Weetamoe St
Fall River, MA 02720-6124

National Provider Directory

National Provider Directory

Locations

654 Weetamoe St
Fall River, MA 02720
Phone (508) 673-2245

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1396804498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 WEETAMOE ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027206124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 WEETAMOE ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027206124",
            "telephone_number": "508-673-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E. PAVAO,D.D.S. & KEVIN P. KILROY,D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "KILROY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "508-673-2245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "17041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.