Active NPI
Angelikki A Pagonis, D.D.S.
- Dentist
- Cupertino, CA
National Provider Identifier
1982982104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 60593
- Practice address
- 10383 Torre Ave
Suite I
Cupertino, CA 95014-3238 - Phone
- (408) 257-3031
- Fax
- (408) 257-5842
- NPI assigned
- Jul 22, 2011
- Sex
- Female
- 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 | 60593 | CA | Primary |
Addresses
Primary practice location
10383 Torre Ave
Suite I
Cupertino, CA 95014-3238
Mailing address
10383 Torre Ave
Suite I
Cupertino, CA 95014-3238
Phone (408) 257-3031
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 |
|---|---|---|---|
| 60593 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311292800000",
"number": "1982982104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10383 TORRE AVE",
"address_2": "SUITE I",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950143238",
"telephone_number": "408-257-3031",
"fax_number": "408-257-5842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10383 TORRE AVE",
"address_2": "SUITE I",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950143238",
"telephone_number": "408-257-3031",
"fax_number": "408-257-5842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGONIS",
"first_name": "ANGELIKKI",
"middle_name": "A",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-22",
"last_updated": "2011-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "60593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cupertino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.