DR. J. LEE PETTIGREW D.D.S.
NPI 1477699031
Dentist - General Practice in Southlake, TX

Q: What is J. Pettigrew's NPI number?

The NPI number for J. Pettigrew is 1477699031. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Q: What is J. Pettigrew's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for J. Pettigrew was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 January 30, 2007PECOS Enrolled

201 PLAYERS CIRCLE, SUITE #100, SOUTHLAKE, TX 76092(817) 481-4888 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. J. Lee Pettigrew D.d.s. NPPES

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

DR. J. LEE PETTIGREW D.D.S. (NPI 1477699031) is an individual general practice provider in Southlake, Texas, licensed in Texas (15943) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477699031

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. J. LEE PETTIGREWCredential: D.D.S.

Location Address201 PLAYERS CIRCLE, SUITE #100Southlake, TX 76092

Mailing Address201 Players Circle, Suite #100Southlake, TX 76092 · (817) 481-4888

Phone(817) 481-4888

Sole ProprietorNo

Enumeration DateJanuary 30, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1477699031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 15943

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

201 PLAYERS CIRCLE, Southlake, TX 76092

Open in Google Maps ↗

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. J. Lee Pettigrew D.d.s. 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 76092 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

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$70.45 typical visit price

range $18.18 – $139.68

Typical copayment $17.61 (range $4.54 – $34.92)

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.

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 J. Pettigrew's NPI number?

The NPI number for J. Pettigrew is 1477699031. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is J. Pettigrew located?

J. Pettigrew practices at 201 Players Circle Suite #100, Southlake, TX 76092. The listed phone number is (817) 481-4888.

What is J. Pettigrew's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is J. Pettigrew enrolled in Medicare?

Yes. J. Pettigrew is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for J. Pettigrew was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.