Sandra Pachon, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02023000 Issued in NJ

Practice address

1219 Main Ave
Clifton, NJ 07011-2241

Phone

(973) 473-0900

Fax

(973) 772-3989

NPI assigned

Mar 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clifton Dental Spa LLC

  dba Nuva Smile

  • Dental Clinic/Center
  • Clifton, NJ
  • NPI 1780445163
  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922125137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112241",
            "telephone_number": "973-473-0900",
            "fax_number": "973-772-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 MAIN AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112241",
            "telephone_number": "973-473-0900",
            "fax_number": "973-772-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHON",
        "first_name": "SANDRA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02023000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfredo Ovalle
• William John James Owen, PT, DPT
• Alexander Olusoji Owolabi
• Itzitl Pacheco Riveros
• Francisco Pacheco
• Richard Pagnillo, PT
• Pain Center of North Jersey PC.
• Pain Centers of America, PA
• Pain Management and Rehab Center,LLC
• Pain Management Clinic

• General Practice Dentistry in Clifton, NJ
• Providers in Clifton, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.