Todd Webster Pacofsky, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

50503 Issued in CA

Practice address

2446 Fenton St
Suite 102
Chula Vista, CA 91914-3516

Phone

(619) 216-1100

Fax

(619) 216-1127

NPI assigned

Feb 7, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188950400000",
    "number": "1699815852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2446 FENTON ST",
            "address_2": "SUITE 102",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919143516",
            "telephone_number": "619-216-1100",
            "fax_number": "619-216-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2446 FENTON ST",
            "address_2": "SUITE 102",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919143516",
            "telephone_number": "619-216-1100",
            "fax_number": "619-216-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACOFSKY",
        "first_name": "TODD",
        "middle_name": "WEBSTER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "50503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D50503",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pacific Pointe
• Pacific Rim Pathology Medical Corporation
• Pacifica Bonita LP
• Alyssa Teresa Pack
• John C Pack, OD
• Florence Agagas Pacrem, RN
• Yolanda Paderes
• Daisy Padilla Flores
• Analilia Padilla-Corona, RD
• Bianca Giselle Padilla

• Pediatric Dentistry in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; 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.