NPIMap

Organization Active NPI

Northwest Endodontics

  • Endodontics
  • Peoria, AZ
National Provider Identifier
1629289491
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
4948 Issued in AZ
Legal business name
NORTHWEST ENDODONTICS
Practice address
7972 W Thunderbird Rd
Suite 103
Peoria, AZ 85381-4903
Phone
(623) 979-1313
Fax
(623) 505-3678
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Scott William Pace, D.D.S.NPI 1760567291
Title
Owner
Phone
(623) 979-1313

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 4948 AZ Primary

Addresses

Primary practice location

7972 W Thunderbird Rd
Suite 103
Peoria, AZ 85381-4903

Mailing address

7972 W Thunderbird Rd
Suite 103
Peoria, AZ 85381-4903
Phone (623) 979-1313

National Provider Directory

National Provider Directory

Locations

7972 W Thunderbird Rd
Ste 103
Peoria, AZ 85381
Phone (623) 979-1313

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629289491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7972 W THUNDERBIRD RD",
            "address_2": "SUITE 103",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814903",
            "telephone_number": "623-979-1313",
            "fax_number": "623-505-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7972 W THUNDERBIRD RD",
            "address_2": "SUITE 103",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814903",
            "telephone_number": "623-979-1313",
            "fax_number": "623-505-3678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-979-1313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "AZ",
            "license": "4948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.