Organization Active NPI

Thomas Pacheco, DDS, Inc.

  • General Practice Dentistry
  • Pasadena, CA
National Provider Identifier
1881268118
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
THOMAS PACHECO, DDS, INC.
Practice address
1137 E Green St
Pasadena, CA 91106-2505
Phone
(626) 584-3031
NPI assigned
May 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Authorized official

Name
Dr. Thomas Daniel Pacheco, DDS
Title
Dentist/President
Phone
(909) 524-2283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1137 E Green St
Pasadena, CA 91106-2505

Mailing address

1137 E Green St
Pasadena, CA 91106-2505
Phone (626) 584-3031

National Provider Directory

National Provider Directory

Locations

1137 E Green St
Pasadena, CA 91106
Phone (626) 584-3031

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621468800000",
    "number": "1881268118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 E GREEN ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062505",
            "telephone_number": "626-584-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 E GREEN ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062505",
            "telephone_number": "626-584-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS PACHECO, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "PACHECO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "909-524-2283",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.