NPIMap

Organization Active NPI

Pavlo Orthodontics, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Peabody, MA
National Provider Identifier
1407526247
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
PAVLO ORTHODONTICS, PC
Practice address
9 Bourbon St
Peabody, MA 01960-1339
Phone
(978) 535-5353
Fax
(978) 535-1631
NPI assigned
Sep 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Authorized official

Name
Mr. John A Pavlo, DMDNPI 1518006519
Title
President
Phone
(978) 535-5353

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

9 Bourbon St
Peabody, MA 01960-1339

Mailing address

5 Taryn Dr
Danvers, MA 01923-5210
Phone (978) 535-5353

Other practice location 1

1 Harris St
Newburyport, MA 01950-2600
Phone (978) 463-5353

Other names 1

  • John A Pavlo, DMD, PC Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@pavlobraces.com Direct

National Provider Directory

National Provider Directory

Locations

1 Harris St
Newburyport, MA 01950
Phone (978) 463-5353

9 Bourbon St
Peabody, MA 01960
Phone (978) 535-5353

Practitioners & affiliated clinicians

Practitioners 1

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": "1631577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631577600000",
    "number": "1407526247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 TARYN DR",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019235210",
            "telephone_number": "978-535-5353",
            "fax_number": "978-535-1631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 BOURBON ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019601339",
            "telephone_number": "978-535-5353",
            "fax_number": "978-535-1631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Harris St",
            "address_purpose": "LOCATION",
            "city": "Newburyport",
            "state": "MA",
            "postal_code": "019502600",
            "country_code": "US",
            "telephone_number": "978-463-5353",
            "fax_number": "978-535-1631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PAVLO ORTHODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "PAVLO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-535-5353",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@pavlobraces.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Office",
            "address_1": "9 Bourbon St",
            "city": "Peabody",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019601339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "John A Pavlo, DMD, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Peabody, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.