Individual provider Active NPI

Michael J Pavelchek, D.D.S.

  • General Practice Dentistry
  • White Plains, NY
National Provider Identifier
1750406393
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
041958 Issued in NY
Practice address
273 Central Ave
First Floor
White Plains, NY 10606-1207
Phone
(914) 949-3770
Fax
(914) 949-3770
NPI assigned
Mar 20, 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
General Practice Dentistry 1223G0001X 041958 NY Primary

Addresses

Primary practice location

273 Central Ave
First Floor
White Plains, NY 10606-1207

Mailing address

273 Central Ave
First Floor
White Plains, NY 10606-1207
Phone (914) 949-3770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
041958NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750406393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 CENTRAL AVE",
            "address_2": "FIRST FLOOR",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106061207",
            "telephone_number": "914-949-3770",
            "fax_number": "914-949-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 CENTRAL AVE",
            "address_2": "FIRST FLOOR",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106061207",
            "telephone_number": "914-949-3770",
            "fax_number": "914-949-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVELCHEK",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "041958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.