MR. PETER JAMES PANGILINAN DDS
NPI 1356420186
Dentist - Oral and Maxillofacial Surgery in Huntersville, NC

Active since November 03, 2006Opted out of Medicare · through Apr 1, 2028
9615 KINCEY AVE STE 110, HUNTERSVILLE, NC 28078(704) 659-6765(704) 659-3351 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Peter James Pangilinan Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. PETER JAMES PANGILINAN DDS (NPI 1356420186) is an individual oral and maxillofacial surgery provider in Huntersville, North Carolina, licensed in North Carolina (10513) and active in the NPI registry since November 2006. He has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1356420186
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameMR. PETER JAMES PANGILINANCredential: DDS
Location Address9615 KINCEY AVE STE 110Huntersville, NC 28078-9140
Mailing Address9615 Kincey Ave Ste 110Huntersville, NC 28078-9140 · (704) 659-6765 · Fax (304) 624-0977
Fax(704) 659-3351
Sole ProprietorYes
Enumeration DateNovember 3, 2006
Last NPPES UpdateJanuary 9, 2024
NPPES CertifiedJanuary 9, 2024
NPI 1356420186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in NC · 10513
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
9615 KINCEY AVE STE 110, Huntersville, NC 28078

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Mr. Peter James Pangilinan Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2022 through April 1, 2028.

Opt-Out Effective DateApril 1, 2022
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Pangilinan's NPI number?

The NPI number for Peter Pangilinan is 1356420186. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Peter Pangilinan located?

Peter Pangilinan practices at 9615 Kincey Ave Ste 110, Huntersville, NC 28078. The listed phone number is (704) 659-6765.

What is Peter Pangilinan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Peter Pangilinan enrolled in Medicare?

No. Peter Pangilinan has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Peter Pangilinan accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 10 other insurers list Peter Pangilinan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Peter Pangilinan was last updated on January 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.