DR. NINO DEMETRIUS POLLACCIA DDS
NPI 1356462188
Dentist - Oral and Maxillofacial Surgery in Peoria, AZ

Q: What is Nino Pollaccia's NPI number?

The NPI number for Nino Pollaccia is 1356462188. It was assigned to this individual provider in the NPPES registry on April 2, 2007.

Q: What is Nino Pollaccia's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nino Pollaccia was last updated on April 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 02, 2007PECOS Enrolled

10210 W HAPPY VALLEY PKWY STE 150, PEORIA, AZ 85383(623) 230-2297(623) 239-3547 Get Directions Write a Review

NPPES record last updated: April 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Nino Demetrius Pollaccia Dds NPPES

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

DR. NINO DEMETRIUS POLLACCIA DDS (NPI 1356462188) is an individual oral and maxillofacial surgery provider in Peoria, Arizona, licensed in Arizona (D010824) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356462188

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. NINO DEMETRIUS POLLACCIACredential: DDS

Location Address10210 W HAPPY VALLEY PKWY STE 150Peoria, AZ 85383-2881

Mailing Address10210 W Happy Valley Pkwy Ste 150Peoria, AZ 85383-2881 · (623) 230-2297 · Fax (623) 239-3547

Phone(623) 230-2297

Fax(623) 239-3547

Sole ProprietorNo

Enumeration DateApril 2, 2007

Last NPPES UpdateApril 8, 2022

NPPES CertifiedApril 8, 2022

✔ NPI 1356462188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Licenses✔ Licensed in AZ · D010824✔ Licensed in CO · 8941

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.

10210 W HAPPY VALLEY PKWY STE 150, Peoria, AZ 85383

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nino Demetrius Pollaccia Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85383 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEORIA ORAL & IMPLANT SURGERY PLLC

Oral & Maxillofacial Surgery

10210 W HAPPY VALLEY PKWY STE 150
PEORIA, AZ 85383

Maricopa County (623) 230-2297

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 Nino Pollaccia's NPI number?

The NPI number for Nino Pollaccia is 1356462188. It was assigned to this individual provider in the NPPES registry on April 2, 2007.

Where is Nino Pollaccia located?

Nino Pollaccia practices at 10210 W Happy Valley Pkwy Ste 150, Peoria, AZ 85383. The listed phone number is (623) 230-2297.

What is Nino Pollaccia's specialty?

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

Is Nino Pollaccia enrolled in Medicare?

Yes. Nino Pollaccia is registered in the Medicare PECOS enrollment system.

What insurance does Nino Pollaccia accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental of Arizona and Humana and 1 other insurer list Nino Pollaccia 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 Nino Pollaccia was last updated on April 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.