John L. Pavy, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

2750 Issued in SC

Practice address

1500 Highway 17 N
The Courtyard 101
Surfside Beach, SC 29575-6081

Phone

(843) 238-5547

NPI assigned

Apr 29, 2008

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

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": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1821263989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 HWY 1500 17N",
            "address_2": "THE COURTYARD 101",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295756079",
            "telephone_number": "843-238-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 HIGHWAY 17 N",
            "address_2": "THE COURTYARD 101",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295756081",
            "telephone_number": "843-238-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVY",
        "first_name": "JOHN",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "SC",
            "license": "2750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endodontics in Surfside Beach, SC
• Providers in Surfside Beach, SC by specialty
• Endodontics in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.