Active NPI
Joseph Anthony Pavletich Jr., D.D.S.
- Dentist
- Elm Grove, WI
National Provider Identifier
1447412457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3862WI
- Practice address
- 13435 Watertown Plank Rd
Suite #1
Elm Grove, WI 53122-2201 - Phone
- (262) 786-4348
- NPI assigned
- Jun 30, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 3862WI | WI | Primary |
Addresses
Primary practice location
13435 Watertown Plank Rd
Suite #1
Elm Grove, WI 53122-2201
Mailing address
13435 Watertown Plank Rd
Suite #1
Elm Grove, WI 53122-2201
Phone (262) 786-4348
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3862WI | WI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214784000000",
"number": "1447412457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13435 WATERTOWN PLANK RD",
"address_2": "SUITE #1",
"city": "ELM GROVE",
"state": "WI",
"postal_code": "531222201",
"telephone_number": "262-786-4348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13435 WATERTOWN PLANK RD",
"address_2": "SUITE #1",
"city": "ELM GROVE",
"state": "WI",
"postal_code": "531222201",
"telephone_number": "262-786-4348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAVLETICH",
"first_name": "JOSEPH",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-30",
"last_updated": "2008-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "3862WI",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elm Grove, WI
- Optum Behavioral Care of Colorado, P.C. (Red Oak Counseling of Wisconsin)
- Anne Catherine Paczesny, LCSW
- Pals Inc
- David Andrew Paris, D.D.S.
- Patchwork Counseling Collective LLC
- Pediatrics MD
- Loren-Ashley Peterson, PHARMD
- Jill M Petryczkiewycz, PHYSICAL THERAPIST
- Margaret Ann Pofahl, LCSW
- Julie D Powers, PHYSICAL THERAPY ASS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.