Luciana B Bretz-Pavie, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1857335 Issued in MA

Practice address

2 Mary Ann Drive
Nantucket, MA 02554-2843

Phone

(508) 825-2020

Fax

(508) 825-2223

NPI assigned

Jul 7, 2016

Last updated

Oct 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Luciana Bretz Pavie Former name

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1942652433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MARY ANN DRIVE",
            "city": "NANTUCKET",
            "state": "MA",
            "postal_code": "025542843",
            "telephone_number": "508-825-2020",
            "fax_number": "508-825-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MARY ANN DRIVE",
            "city": "NANTUCKET",
            "state": "MA",
            "postal_code": "025542843",
            "telephone_number": "508-825-2020",
            "fax_number": "508-825-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRETZ-PAVIE",
        "first_name": "LUCIANA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-07",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1857335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUCIANA",
            "last_name": "PAVIE",
            "middle_name": "BRETZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Almudena Berzosa Roque, BA
• Bettr Full
• Joseph J Bickford, OD
• Bite Size Dental Care
• Michele Elizabeth Brady, LICSW
• Danielle Briard, RD, MS
• Shea L Burke, D.C.
• Christopher Joseph Burns, M.D.
• Joanne Patricia Bushong, NP
• George P Butterworth, MD

• General Practice Dentistry in Nantucket, MA
• Providers in Nantucket, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.