Individual provider Active NPI

Mayank Pahadia, BDS MDS MS

  • Oral and Maxillofacial Radiology Dentistry
  • Gainesville, FL
National Provider Identifier
1861065948
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Radiology DentistryTaxonomy code 1223X0008X
License
741 Issued in FL
Practice address
1395 Center Dr
Gainesville, FL 32610-3006
Phone
(646) 436-2284
NPI assigned
Jul 19, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Radiology Dentistry 1223X0008X 741 FL Primary

Addresses

Primary practice location

1395 Center Dr
Gainesville, FL 32610-3006

Mailing address

3885 NW 24TH Blvd Apt 202
Gainesville, FL 32605-5674
Phone (646) 436-2284

Other practice location 1

1549 Gale Lemerand Dr
Gainesville, FL 32610-3006
Phone (352) 265-1234

Other practice location 2

3480 Hull Rd
Gainesville, FL 32607-4144
Phone (352) 733-0065

Other practice location 3

3480 Hull Rd
Gainesville, FL 32607-4144
Phone (352) 265-1234

Other practice location 4

1600 SW Archer Rd
Gainesville, FL 32610-3006
Phone (352) 265-0535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20210728003283 FL Practitioner - Oral SurgeryPractitioner - Dentist 2860895869 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
47.54 of 100Reported as apm
Quality
38.49
Promoting interoperability
0
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
741FLMDOral and Maxillofacial Radiology Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Oct 19, 2021 Accepting new patients
Faculty Associates Incorporated CurrentSince Jul 21, 2021 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Oct 19, 2021 Accepting new patients

Locations

1600 SW Archer Rd
Rm D26
Gainesville, FL 32610
Phone (352) 273-5380

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1549 Gale Lemerand Dr
Gainesville, FL 32610
Phone (352) 265-0496

3480 Hull Rd
Gainesville, FL 32607
Phone (352) 733-0065

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1861065948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3885 NW 24TH BLVD APT 202",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326055674",
            "telephone_number": "646-436-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 CENTER DR",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103006",
            "telephone_number": "646-436-2284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1549 Gale Lemerand Dr",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326103006",
            "country_code": "US",
            "telephone_number": "352-265-1234",
            "fax_number": "352-392-6909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3480 Hull Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326074144",
            "country_code": "US",
            "telephone_number": "352-733-0065",
            "fax_number": "352-627-4173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3480 Hull Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326074144",
            "country_code": "US",
            "telephone_number": "352-265-1234",
            "fax_number": "352-733-8801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 SW Archer Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326103006",
            "country_code": "US",
            "telephone_number": "352-265-0535",
            "fax_number": "352-265-0328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAHADIA",
        "first_name": "MAYANK",
        "credential": "BDS MDS MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-19",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0008X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Radiology",
            "state": "FL",
            "license": "741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.