Ivan P Paskalev DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

IVAN P PASKALEV DMD PC

Practice address

2400 Willamette St
Eugene, OR 97405-3131

Phone

(541) 485-0272

Fax

(541) 485-0139

NPI assigned

Aug 22, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Ivan Paskalev, DMDNPI 1376734186

Title

Officer

Phone

(541) 485-0272

Specialties & licenses 1

Addresses

Other names 1

• College Hill Dental Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 2

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

• Ivan P Paskalev, DMD

  • General Practice Dentistry
  • Eugene, OR
  • NPI 1376734186
  NPD Authorized official
• Stephen Edward Hull, DMD, PC

  • General Practice Dentistry
  • Eugene, OR
  • NPI 1053406587
  NPD (past)

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566432000000",
    "number": "1538716675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 WILLAMETTE ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053131",
            "telephone_number": "541-485-0272",
            "fax_number": "541-485-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 WILLAMETTE ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053131",
            "telephone_number": "541-485-0272",
            "fax_number": "541-485-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVAN P PASKALEV DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-22",
        "last_updated": "2019-08-22",
        "status": "A",
        "authorized_official_last_name": "PASKALEV",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "541-485-0272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "College Hill Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Craig William Iseli, DPT
• McKenzie Sky Isham
• Rudy Lei Ishibashi
• Haley Iten, LPN
• Itensive Treatment Services
• Duane B Iversen, PT
• Paige Margarete Iverson
• Rachel Iverson
• Annalisa Nicole Ivey, LCSW
• Elizabeth Jean Ivie, PHD

• General Practice Dentistry in Eugene, OR
• Providers in Eugene, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.