Jacqueline C Pace, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

0402000925 Issued in VA

Practice address

801 Sanderson Road
Chesapeake, VA 23322

Phone

(757) 296-3843

Fax

(757) 421-7923

NPI assigned

Sep 15, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Jacqueline G Cunningham Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1598487605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 6071",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "23703",
            "telephone_number": "757-296-3843",
            "fax_number": "757-421-7923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SANDERSON ROAD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "23322",
            "telephone_number": "757-296-3843",
            "fax_number": "757-421-7923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACE",
        "first_name": "JACQUELINE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "VA",
            "license": "0402000925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "CUNNINGHAM",
            "middle_name": "G",
            "prefix": "MISS",
            "credential": "RDH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alyce S Oxton
• Haley Oxton
• P & S Home Health Care Solutions
• P a R Eyecare PLLC
• Kelly Pacanowski
• Rebecca A Pace, NP
• Michael Louis Pachuilo, M.S., CCC-A
• David Alan Packer, D.C.
• Nandita Krishna Padiyar, M.D.
• Mark Ong Padlan, PTA

• Dental Hygienist in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Dental Hygienist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.