NPIMap

Organization Active NPI

Dr. Robert M Pavalunas D.D.S. P.S.

  • General Practice Dentistry
  • Auburn, WA
National Provider Identifier
1982740874
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3846 Issued in WA
Legal business name
DR. ROBERT M PAVALUNAS D.D.S. P.S.
Practice address
701 M St NE Ste 104
Auburn, WA 98002-4500
Phone
(253) 833-9063
Fax
(253) 833-9197
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert Merritt Pavalunas, D.D.S.
Title
President
Phone
(253) 833-9063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3846 WA Primary

Addresses

Primary practice location

701 M St NE Ste 104
Auburn, WA 98002-4500

Mailing address

11033 SE 295TH St
Auburn, WA 98092-1902
Phone (253) 931-8257

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982740874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11033 SE 295TH ST",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980921902",
            "telephone_number": "253-931-8257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 M ST NE STE 104",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024500",
            "telephone_number": "253-833-9063",
            "fax_number": "253-833-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ROBERT M PAVALUNAS D.D.S. P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAVALUNAS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MERRITT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-833-9063",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "3846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.