Organization Active NPI

John a. Pavlo DMD PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Peabody, MA
National Provider Identifier
1932482189
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
19473 Issued in MA
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

Updated by the provider on Sep 23, 2011

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

Authorized official

Name
Dr. John A. Pavlo, DMDNPI 1518006519
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)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.