Gregory John Pease, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12010370A Issued in IN

Practice address

310 W 161St St
Westfield, IN 46074-8566

Phone

(317) 867-2828

Fax

(317) 867-4020

NPI assigned

Oct 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Gregory J. Pease, DDS, P.C.

  • Dental Clinic/Center
  • Westfield, IN
  • NPI 1699934224
  NPD (past) Authorized official

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1467535666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W 161ST ST",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460748566",
            "telephone_number": "317-867-2828",
            "fax_number": "317-867-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W 161ST ST",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460748566",
            "telephone_number": "317-867-2828",
            "fax_number": "317-867-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEASE",
        "first_name": "GREGORY",
        "middle_name": "JOHN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010370A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "262251911",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sigal Vishnubhai Patel
• Sandhya Paudyal
• Katelyn Nicole Payne
• Emily A Peak, PT ASSSISTANT
• Brett Parsons Pearlman, PNP
• Terrence Pender, RBT
• Catherine Sue Penno, CCC-SLP
• Kennedy Penson
• Peoples Priority Services LLC
• Edwina Pepito

• General Practice Dentistry in Westfield, IN
• Providers in Westfield, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; 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.