Roger Scott Pecina, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12007505 Issued in IN

Practice address

605 W Douglas Rd
Mishawaka, IN 46545

Phone

(574) 277-2220

Fax

(574) 277-8108

NPI assigned

Feb 21, 2007

Last updated

Jun 13, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Affiliated Family Dentists PC

  • Dentist
  • Mishawaka, IN
  • NPI 1760527592
  NPD (past)
• David M. Allen D.D.S. and Associates, P.C.

  dba afdent

  • General Practice Dentistry
  • Fort Wayne, IN
  • NPI 1861695538
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307923200000",
    "number": "1639204894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 W DOUGLAS RD",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "46545",
            "telephone_number": "574-277-2220",
            "fax_number": "574-277-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 W DOUGLAS RD",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "46545",
            "telephone_number": "574-277-2220",
            "fax_number": "574-277-8108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECINA",
        "first_name": "ROGER",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2011-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12007505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul W Macellari PHD PC
• Kristin Pawlak
• Erin Paynich
• Nicholas Raymond Pechin, DO
• Parker Pecina, DMD
• Maria E Pedraza, MSW
• Julie Marie Pelletier, PSYD, HSPP
• Ariana Josefina Pena, MSW
• August Glausel Penaloza Luna
• Penn Harris Madison School Corporation

• Dentist in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.