Individual provider Active NPI

John M Pierce, MD

  • Plastic and Reconstructive Surgery Physician
  • Scottsdale, AZ
National Provider Identifier
1417099359
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
28911 Issued in AZ
Practice address
9977 N 90TH St Ste 178
Scottsdale, AZ 85258-4426
Phone
(480) 990-8808
Fax
(480) 990-2240
NPI assigned
Feb 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 28911 AZ
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician 2082S0099X 28911 AZ
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X 28911 AZ Primary

Addresses

Primary practice location

9977 N 90TH St Ste 178
Scottsdale, AZ 85258-4426

Mailing address

9977 N 90TH St Ste 178
Scottsdale, AZ 85258-4426
Phone (480) 990-8808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040708000135 AZ Practitioner - Plastic and Reconstructive Surgery 8527046580 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28911AZMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Center for Hematology and Oncology PLC Single Specialty Current Accepting new patients
Arizona Center for Hematology and Oncology, PLC Surgery CurrentSince May 1, 2021 Accepting new patients
Arizona Center for Hematology and Oncology, PLC CurrentSince May 1, 2021 Accepting new patients

Locations

14155 N 83rd Ave
Ste 127
Peoria, AZ 85381
Phone (623) 773-2873

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

1331 N 7th St
Ste 290
Phoenix, AZ 85006
Phone (602) 230-6744

10460 N 92nd St
Ste 101
Scottsdale, AZ 85258
Phone (480) 278-8300

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

Organizations & group practices 3

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1417099359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9977 N 90TH ST STE 178",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584426",
            "telephone_number": "480-990-8808",
            "fax_number": "480-990-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9977 N 90TH ST STE 178",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584426",
            "telephone_number": "480-990-8808",
            "fax_number": "480-990-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "JOHN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "AZ",
            "license": "28911",
            "primary": false
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "AZ",
            "license": "28911",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "AZ",
            "license": "28911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.