Active NPI
John a. Pavlo DMD PC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Peabody, MA
National Provider Identifier
1932482189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 19473
- Legal business name
- JOHN A. PAVLO DMD PC
- Practice address
- 215 Newbury St
Suite 101
Peabody, MA 01960-2414 - Phone
- (978) 535-5353
- NPI assigned
- Sep 23, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John A. Pavlo, DMD
- Title
- Owner
- Phone
- (978) 535-5353
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 19473 | MA | Primary |
Addresses
Primary practice location
215 Newbury St
Suite 101
Peabody, MA 01960-2414
Mailing address
215 Newbury St
Suite 101
Peabody, MA 01960-2414
Phone (978) 535-5353
National Provider Directory
National Provider DirectoryLocations
215 Newbury St
Ste 101
Peabody, MA 01960
Phone (978) 535-5353
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Peabody, MA
- NPI 1518006519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1316736000000",
"number": "1932482189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 NEWBURY ST",
"address_2": "SUITE 101",
"city": "PEABODY",
"state": "MA",
"postal_code": "019602414",
"telephone_number": "978-535-5353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 NEWBURY ST",
"address_2": "SUITE 101",
"city": "PEABODY",
"state": "MA",
"postal_code": "019602414",
"telephone_number": "978-535-5353"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN A. PAVLO DMD PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-23",
"last_updated": "2011-09-23",
"status": "A",
"authorized_official_last_name": "PAVLO",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "978-535-5353",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MA",
"license": "19473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peabody, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.