Active NPI
Anthony Pasquale, DMD
- Public Health Dentistry
- Bath, NY
National Provider Identifier
1811195175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- DEN-9456
- Practice address
- 76 Veterans Ave
Bath, NY 14810-0810 - Phone
- (607) 664-4617
- NPI assigned
- Jul 10, 2007
- Last updated
- Jul 10, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | DEN-9456 | CO | Primary |
Addresses
Primary practice location
76 Veterans Ave
Bath, NY 14810-0810
Mailing address
7224 Lincoln Avenue Ext
Lockport, NY 14094-6214
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130515000612 | NY | Order and Referring Only - Oral Surgery | 2264679067 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN-9456 | CO | MD | Public Health Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1811195175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7224 LINCOLN AVENUE EXT",
"city": "LOCKPORT",
"state": "NY",
"postal_code": "140946214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 VETERANS AVE",
"city": "BATH",
"state": "NY",
"postal_code": "148100810",
"telephone_number": "607-664-4617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASQUALE",
"first_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-10",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "CO",
"license": "DEN-9456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bath, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.