Scott William Pace, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

4948 Issued in AZ

Practice address

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

Phone

(623) 979-1313

Fax

(623) 505-3678

NPI assigned

Oct 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Northwest Endodontics

  • Endodontics
  • Peoria, AZ
  • NPI 1629289491
  NPD (past) Authorized official

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760567291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7972 W THUNDERBIRD RD STE 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 STE 103",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814903",
            "telephone_number": "623-979-1313",
            "fax_number": "623-505-3678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACE",
        "first_name": "SCOTT",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "AZ",
            "license": "4948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey Owens, DPT
• Paul Kevin Owens, DDS
• Parsa Owtad, DMD
• Pouria Owtad, D.M.D.
• Crystal P. Corona
• Nalinee Pacheco, RN
• Pacific Footwear Company, Inc. (Priority Footwear & Pedorthic Services)
• Pacifica Senior Living Peoria
• Ursula Antoinette Padilla
• Paige Psychiatric Group LLC

• Endodontics in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Endodontics in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.