Individual provider Active NPI

Paige E Nance, DDS

  • Dentist
  • Fayetteville, NC
National Provider Identifier
1952313090
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7156 Issued in NC
Practice address
1400 Walter Reed Rd
Suite 200
Fayetteville, NC 28304-4409
Phone
(910) 864-9884
NPI assigned
Aug 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7156 NC Primary

Addresses

Primary practice location

1400 Walter Reed Rd
Suite 200
Fayetteville, NC 28304-4409

Mailing address

1400 Walter Reed Rd
Suite 200
Fayetteville, NC 28304-4409
Phone (910) 864-9884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20240820004667 TX Practitioner - Dentist 6002354198 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7156NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Harris County Hospital District CurrentSince Jul 15, 2024 Accepting new patients
Harris County Hospital District CurrentSince Jul 15, 2024 Accepting new patients
Harris County Hospital District Past Accepting new patients
Ballance & Derose DDS PA Past Accepting new patients

Locations

2118 Washington Ave
Houston, TX 77007
Phone (713) 869-3551

5230 Griggs Rd
Houston, TX 77021
Phone (713) 454-5016

Interoperability endpoints

  • Direct secure messaging: pnance620550@direct.ochin.org

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1952313090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 WALTER REED RD",
            "address_2": "SUITE 200",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044409",
            "telephone_number": "910-864-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 WALTER REED RD",
            "address_2": "SUITE 200",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044409",
            "telephone_number": "910-864-9884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANCE",
        "first_name": "PAIGE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "7156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.