NPIMap

Organization Active NPI

David H.J. Pavasko, DMD, P.C.

  • General Practice Dentistry
  • Export, PA
National Provider Identifier
1982929899
Registry record updated Apr 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS026704-L Issued in PA
Legal business name
DAVID H.J. PAVASKO, DMD, P.C.
Practice address
4810 Old William Penn Hwy Ste 4
Export, PA 15632-9468
Phone
(724) 327-5995
Fax
(724) 327-3465
NPI assigned
Apr 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2010

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

Authorized official

Name
Dr. David Howard Pavasko, DMDNPI 1154462190
Title
President
Phone
(724) 327-5995

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DS026704-L PA Primary

Addresses

Primary practice location

4810 Old William Penn Hwy Ste 4
Export, PA 15632-9468

Mailing address

4810 Old William Penn Hwy Ste 4
Export, PA 15632-9468
Phone (724) 327-5995

National Provider Directory

National Provider Directory

Locations

4810 Old William Penn Hwy
Ste 4
Export, PA 15632
Phone (724) 327-5995

Practitioners & affiliated clinicians

Practitioners 2

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": "1270252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270252800000",
    "number": "1982929899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 OLD WILLIAM PENN HWY STE 4",
            "city": "EXPORT",
            "state": "PA",
            "postal_code": "156329468",
            "telephone_number": "724-327-5995",
            "fax_number": "724-327-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 OLD WILLIAM PENN HWY STE 4",
            "city": "EXPORT",
            "state": "PA",
            "postal_code": "156329468",
            "telephone_number": "724-327-5995",
            "fax_number": "724-327-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID H.J. PAVASKO, DMD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-03",
        "last_updated": "2010-04-03",
        "status": "A",
        "authorized_official_last_name": "PAVASKO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-327-5995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS026704-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Export, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2010; 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.