Organization Active NPI

Jean M Pacewic DMD PC

  • General Practice Dentistry
  • West Linn, OR
National Provider Identifier
1033028162
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JEAN M PACEWIC DMD PC
Practice address
1554 Garden St Ste 104
West Linn, OR 97068-3278
Phone
(503) 655-9300
Fax
(503) 212-0122
NPI assigned
Sep 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Authorized official

Name
Dr. Jean Pacewic, DMD
Title
Owner/Dentist
Phone
(503) 201-9483

Specialties & licenses 1

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

Addresses

Primary practice location

1554 Garden St Ste 104
West Linn, OR 97068-3278

Mailing address

1554 Garden St Ste 104
West Linn, OR 97068-3278
Phone (503) 655-9300

NPI Registry JSON

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

{
    "created_epoch": "1788393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1033028162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1554 GARDEN ST STE 104",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970683278",
            "telephone_number": "503-655-9300",
            "fax_number": "503-212-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1554 GARDEN ST STE 104",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970683278",
            "telephone_number": "503-655-9300",
            "fax_number": "503-212-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN M PACEWIC DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "PACEWIC",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "503-201-9483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Linn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.