Scott David Pelok, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30020109 Issued in OH

Practice address

9601 Chester Ave Ste 345C
Cleveland, OH 44106-1666

Phone

(216) 368-2486

NPI assigned

Jan 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1477600039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 CHESTER AVE STE 345C",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061666",
            "telephone_number": "216-368-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 CHESTER AVE STE 345C",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061666",
            "telephone_number": "216-368-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELOK",
        "first_name": "SCOTT",
        "middle_name": "DAVID",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30020109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David C Pelini, M.D.
• Stephen Pell, DO
• W George Pelletier, LPC
• Robert J Pelley, MD
• Lisa Pelligree
• Ellen Pelts
• Allison Peluso
• Pamela Pembridge
• Leann Nicole Pena Garcia, M.S., SLP-CF
• Cinthya Pena Orbea, MD

• General Practice Dentistry in Cleveland, OH
• Providers in Cleveland, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.