Stephen Scott Pesicek, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19610 Issued in OH

Practice address

567 N Market St
Wooster, OH 44691-3400

Phone

(330) 262-0206

NPI assigned

Feb 9, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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.

• Daniel S Zupsansky DDS, Lee T Hartzler DDS, & Tyler a Overmyer DDS Inc

  • General Practice Dentistry
  • Wooster, OH
  • NPI 1124603725
  NPD (past)

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497896765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CEREMONIAL CLOSE",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446916905",
            "telephone_number": "330-262-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 N MARKET ST",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446913400",
            "telephone_number": "330-262-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESICEK",
        "first_name": "STEPHEN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "19610",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3936",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pearce Joshua Perry
• Rico D Person
• Personal Helpers Home Care LLC
• Personal Touch Home Care of Ohio, Inc
• Christopher R Pesicek, D.D.S.
• Andrew Michael Peters, LPN
• Dawn E Peters, MA, LPCC
• Nichole Lee Peters, LSW
• Allison Peterson, LISW
• Jennifer Peterson, MSW, LISW-S

• General Practice Dentistry in Wooster, OH
• Providers in Wooster, 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 Jul 8, 2007; 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.