Individual provider Active NPI

James Richard Pace Jr., DDS

  • Dentist
  • Nashville, TN
National Provider Identifier
1235450065
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9140 Issued in TN
Practice address
104 Kenner Ave
Suite 101
Nashville, TN 37205-2243
Phone
(615) 298-2030
Fax
(615) 383-2541
NPI assigned
Jun 16, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9140 TN Primary

Addresses

Primary practice location

104 Kenner Ave
Suite 101
Nashville, TN 37205-2243

Mailing address

104 Kenner Ave
Suite 101
Nashville, TN 37205-2243
Phone (615) 298-2030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170113001218 TN Order and Referring Only - DentistPractitioner - Dentist 3476878539

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9140TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Iroquois Family Dentistry Past Accepting new patients
Belle Meade Family Dentistry Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276646400000",
    "number": "1235450065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 KENNER AVE",
            "address_2": "SUITE 101",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052243",
            "telephone_number": "615-298-2030",
            "fax_number": "615-383-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 KENNER AVE",
            "address_2": "SUITE 101",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052243",
            "telephone_number": "615-298-2030",
            "fax_number": "615-383-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACE",
        "first_name": "JAMES",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-16",
        "last_updated": "2010-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "9140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.