James Pawlecki, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

022379 Issued in OH

Practice address

133 W Hull Dr
Delaware, OH 43015-3703

Phone

(740) 363-3871

Fax

(740) 369-6616

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

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

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.

• Robert Green DDS Inc

  • General Practice Dentistry
  • Delaware, OH
  • NPI 1144289042
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328227200000",
    "number": "1720174923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 W HULL DR",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430153703",
            "telephone_number": "740-363-3871",
            "fax_number": "740-369-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 W HULL DR",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430153703",
            "telephone_number": "740-363-3871",
            "fax_number": "740-369-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWLECKI",
        "first_name": "JAMES",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2012-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00010637",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "022379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5052733",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "911019392",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHPW",
            "identifier": "5052733",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "215835",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chasity Lynn Parsons, APS.004395
• Jessica Lynn Pate
• Apexa Rutvikkumar Patel
• Nira Patel
• Isaiah Hezekiah Patterson
• Heidi Marie Payne, LPCC
• Melissa A Payne, MD
• Andrew J Pearson
• Kishan Peddanna, MD
• Anthony Michael Peddle, EDD, ECIS

• General Practice Dentistry in Delaware, OH
• Providers in Delaware, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; 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.