Active NPI
Justin Pfaffinger, DDS
- General Practice Dentistry
- Grass Valley, CA
National Provider Identifier
1972837490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 58375
- Practice address
- 1345 Whispering Pines LN
Grass Valley, CA 95945-5952 - Phone
- (530) 273-9340
- Fax
- (530) 273-7255
- NPI assigned
- Sep 30, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 58375 | CA | Primary |
Addresses
Primary practice location
1345 Whispering Pines LN
Grass Valley, CA 95945-5952
Mailing address
1345 Whispering Pines LN
Grass Valley, CA 95945-5952
Phone (530) 273-9340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 4, 2016 through May 4, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254268800000",
"number": "1972837490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1345 WHISPERING PINES LN",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959455952",
"telephone_number": "530-273-9340",
"fax_number": "530-273-7255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1345 WHISPERING PINES LN",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959455952",
"telephone_number": "530-273-9340",
"fax_number": "530-273-7255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PFAFFINGER",
"first_name": "JUSTIN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-30",
"last_updated": "2009-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "58375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grass Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.