Individual provider Active NPI

Pierce E Pfitzner, DDS

  • General Practice Dentistry
  • Redlands, CA
National Provider Identifier
1528430840
Registry record updated Oct 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
65141 Issued in CA
Practice address
26254 Redlands Blvd Apt 104
Redlands, CA 92373-7750
Phone
(909) 747-9515
NPI assigned
Oct 26, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 65141 CA Primary

Addresses

Primary practice location

26254 Redlands Blvd Apt 104
Redlands, CA 92373-7750

Mailing address

26254 Redlands Blvd Apt 104
Redlands, CA 92373-7750
Phone (909) 747-9515

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445817600000",
    "number": "1528430840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26254 REDLANDS BLVD APT 104",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923737750",
            "telephone_number": "909-747-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26254 REDLANDS BLVD APT 104",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923737750",
            "telephone_number": "909-747-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFITZNER",
        "first_name": "PIERCE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "65141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.