Active NPI
Paul D Pierce, D.D.S.
- General Practice Dentistry
- El Cajon, CA
National Provider Identifier
1528028552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 36599
- Practice address
- 2397 Fletcher Pkwy
El Cajon, CA 92020-2134 - Phone
- (619) 461-8080
- Fax
- (619) 461-8082
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 36599 | CA | Primary |
Addresses
Primary practice location
2397 Fletcher Pkwy
El Cajon, CA 92020-2134
Mailing address
13280 Gunner Ave
San Diego, CA 92129-2319
Phone (858) 484-6186
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36599 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267056000000",
"number": "1528028552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13280 GUNNER AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921292319",
"telephone_number": "858-484-6186",
"fax_number": "858-484-3294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2397 FLETCHER PKWY",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920202134",
"telephone_number": "619-461-8080",
"fax_number": "619-461-8082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERCE",
"first_name": "PAUL",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2010-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "36599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.