Individual provider Active NPI

Roland Paul Pagniano Jr., D.D.S., M.S.

  • Prosthodontics
  • Dublin, OH
National Provider Identifier
1619189602
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
30-21200 Issued in OH
Practice address
6805 Avery-Muirfield Drive
Suite 201
Dublin, OH 43016-7184
Phone
(614) 932-0200
Fax
(614) 932-9451
NPI assigned
May 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 30-21200 OH Primary

Addresses

Primary practice location

6805 Avery-Muirfield Drive
Suite 201
Dublin, OH 43016-7184

Mailing address

6805 Avery-Muirfield Drive
Suite 201
Dublin, OH 43016-7184
Phone (614) 932-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150608001281 OH Order and Referring Only - DentistPractitioner - Dentist 7517288160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
30-21200OHMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Roland Pagniano, DDS, Ms and Associates, Inc. Prosthodontics PastSince Sep 19, 2003 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619189602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6805 AVERY-MUIRFIELD DRIVE",
            "address_2": "SUITE 201",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430167184",
            "telephone_number": "614-932-0200",
            "fax_number": "614-932-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6805 AVERY-MUIRFIELD DRIVE",
            "address_2": "SUITE 201",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430167184",
            "telephone_number": "614-932-0200",
            "fax_number": "614-932-9451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGNIANO",
        "first_name": "ROLAND",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "OH",
            "license": "30-21200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.