J. Pettigrew, D.D.S.
NPI 1477699031 · General Practice Dentistry · Southlake, TX
Enrolled with Medicare as Order and Referring Only - Other (physician) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
J. Pettigrew, D.D.S. is a General Practice Dentistry provider in Southlake, TX (NPI 1477699031).
Provider details
- NPI number
- 1477699031
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 15943 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
19 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$100 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-30
- Last updated
- 2007-07-08
Frequently asked questions
- What is J. Pettigrew's NPI number?
- J. Pettigrew's National Provider Identifier (NPI) is 1477699031, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is J. Pettigrew's specialty?
- J. Pettigrew is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is J. Pettigrew located?
- J. Pettigrew's practice location on file with NPPES is 201 Players Circle, Southlake, TX 76092.
- What is J. Pettigrew's phone number?
- The practice phone number listed in the NPPES registry for J. Pettigrew is (817) 481-4888.
- Does J. Pettigrew accept Medicare?
- J. Pettigrew is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is J. Pettigrew's NPI active?
- Yes — J. Pettigrew's NPI (1477699031) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.