Ronald A Pahl Jr., DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18025 Issued in MA

Practice address

1182 Springfield St
Feeding Hills, MA 01030-2115

Phone

(413) 786-7313

Fax

(413) 786-7542

NPI assigned

Jan 17, 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

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Agawam Dental Care PC

  • General Practice Dentistry
  • Feeding Hills, MA
  • NPI 1558446310
  NPD (past) Authorized official

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190851200000",
    "number": "1700938800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1182 SPRINGFIELD ST",
            "city": "FEEDING HILLS",
            "state": "MA",
            "postal_code": "010302115",
            "telephone_number": "413-786-7313",
            "fax_number": "413-786-7542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1182 SPRINGFIELD ST",
            "city": "FEEDING HILLS",
            "state": "MA",
            "postal_code": "010302115",
            "telephone_number": "413-786-7313",
            "fax_number": "413-786-7542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAHL",
        "first_name": "RONALD",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "18025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northpoint Performance LLC
• NRG Positive Energy
• Adrienne Sibrizzi O'Connor
• Linda M Ouimette
• Nicole Ouimette
• Cynthia Jean Parisien, RN
• Asha Patel
• Savanna Kayce Jade Pierce
• Susan M Plourde, DMD
• Professional Medical Homecare LLC

• General Practice Dentistry in Feeding Hills, MA
• Providers in Feeding Hills, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.