Active NPI
Dennis Pasko, DDS
- Dentist
- Brea, CA
National Provider Identifier
1972633451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 28218
- Practice address
- 975 E Birch St
Suite G
Brea, CA 92821-5828 - Phone
- (714) 255-0516
- Fax
- (714) 255-0535
- NPI assigned
- Mar 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 28218 | CA | Primary |
Addresses
Primary practice location
975 E Birch St
Suite G
Brea, CA 92821-5828
Mailing address
975 E Birch St
Suite G
Brea, CA 92821-5828
Phone (714) 255-0516
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28218 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329782400000",
"number": "1972633451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "975 E BIRCH ST",
"address_2": "SUITE G",
"city": "BREA",
"state": "CA",
"postal_code": "928215828",
"telephone_number": "714-255-0516",
"fax_number": "714-255-0535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 E BIRCH ST",
"address_2": "SUITE G",
"city": "BREA",
"state": "CA",
"postal_code": "928215828",
"telephone_number": "714-255-0516",
"fax_number": "714-255-0535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASKO",
"first_name": "DENNIS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2012-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "28218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brea, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.