Vanessa Ann Pastrovich, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019029182 Issued in IL

Practice address

1030 4TH St
Eldorado, IL 62930-1702

Phone

(618) 273-9361

Fax

(618) 273-7101

NPI assigned

Aug 28, 2012

Sex

Female

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

State licenses

Practice roles

Locations

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.

• Southern Illinois Family Dentistry LLC

  • Dentist
  • Eldorado, IL
  • NPI 1467347732
  NPD
• Brown Dental Care LTD

  • General Practice Dentistry
  • Shelbyvile, IL
  • NPI 1326290214
  NPD (past)
• Robert S Heckler DDS LTD

  • Dentist
  • Shelbyville, IL
  • NPI 1861439911
  NPD (past)

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1851649511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 4TH ST",
            "city": "ELDORADO",
            "state": "IL",
            "postal_code": "629301702",
            "telephone_number": "618-273-9361",
            "fax_number": "618-273-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 4TH ST",
            "city": "ELDORADO",
            "state": "IL",
            "postal_code": "629301702",
            "telephone_number": "618-273-9361",
            "fax_number": "618-273-7101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 W North 1st St",
            "address_purpose": "LOCATION",
            "city": "Shelbyville",
            "state": "IL",
            "postal_code": "625651522",
            "country_code": "US",
            "telephone_number": "217-774-4221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASTROVICH",
        "first_name": "VANESSA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019029182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Oldham, M.D.
• Jenna Ortiz
• Mary Ann Ozee, APN FNP-C
• Madyson Elise Parker, R.D.
• Kristin Parks, RN
• Janna Reddy Pathi, MD
• Rachael Colleen Patton
• Alyssa Payne, RN
• Marguerita Ann Pearce, MSW,LCSW
• Maranda Pedigo

• General Practice Dentistry in Eldorado, IL
• Providers in Eldorado, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.