Organization Active NPI

Pearl Cosmetic Dentistry & Aesthetics, Inc

  • General Practice Dentistry
  • Dublin, OH
National Provider Identifier
1033579289
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PEARL COSMETIC DENTISTRY & AESTHETICS, INC
Doing business as
Pearl CDA
Practice address
7215 Sawmill Rd Ste 210
Dublin, OH 43016-5001
Phone
(614) 698-0325
Fax
(614) 698-0327
NPI assigned
Mar 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

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

Authorized official

Name
Dr. Whitney M Moore, DDSNPI 1013987114
Title
Managing Member
Phone
(614) 698-0325

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

7215 Sawmill Rd Ste 210
Dublin, OH 43016-5001

Mailing address

7215 Sawmill Rd Ste 210
Dublin, OH 43016-5001
Phone (614) 698-0325

Other names 1

  • Pearl CDA Doing business as

National Provider Directory

National Provider Directory

Locations

7215 Sawmill Rd
Ste 210
Dublin, OH 43016
Phone (614) 799-9140

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456790400000",
    "number": "1033579289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7215 SAWMILL RD STE 210",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430165001",
            "telephone_number": "614-698-0325",
            "fax_number": "614-698-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 SAWMILL RD STE 210",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430165001",
            "telephone_number": "614-698-0325",
            "fax_number": "614-698-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL COSMETIC DENTISTRY & AESTHETICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-01",
        "last_updated": "2016-03-01",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "614-698-0325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearl CDA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.