Active NPI
Joell Ann Pavlik, PHDHP
- Dental Hygienist
- Pittsburgh, PA
National Provider Identifier
1447768015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- PHDH000833
- Practice address
- 807 Wallace Ave
Pittsburgh, PA 15221-2312 - Phone
- (412) 242-0584
- NPI assigned
- Jan 17, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | PHDH000833 | PA | Primary |
Addresses
Primary practice location
807 Wallace Ave
Pittsburgh, PA 15221-2312
Mailing address
115 Fairview Dr
Irwin, PA 15642-8900
Phone (724) 863-3352
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 |
|---|---|---|---|
| PHDH000833 | PA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516147200000",
"number": "1447768015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 FAIRVIEW DR",
"city": "IRWIN",
"state": "PA",
"postal_code": "156428900",
"telephone_number": "724-863-3352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 WALLACE AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152212312",
"telephone_number": "412-242-0584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAVLIK",
"first_name": "JOELL",
"middle_name": "ANN",
"credential": "PHDHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-17",
"last_updated": "2018-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "PA",
"license": "PHDH000833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.