NPIMap

Organization Active NPI

David R Pearce DDS PC

Doing business as Baldwinsville Gentle Dentistry

  • Durable Medical Equipment & Medical Supplies
  • Baldwinsville, NY
National Provider Identifier
1043502123
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
044259 Issued in NY
Legal business name
DAVID R PEARCE DDS PC
Doing business as
Baldwinsville Gentle Dentistry
Practice address
30 W Genesee St
Baldwinsville, NY 13027-1126
Phone
(315) 635-3671
Fax
(315) 635-6482
NPI assigned
May 9, 2011
Last updated
Dec 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Authorized official

Name
Dr. David R. Pearce, DDSNPI 1275628000
Title
President/Owner
Phone
(315) 635-3671

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 044259 NY Primary

Addresses

Primary practice location

30 W Genesee St
Baldwinsville, NY 13027-1126

Mailing address

30 West Genesee St.
Baldwinsville, NY 13027-1126
Phone (315) 635-3671

Other names 1

  • Baldwinsville Gentle Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1304899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1043502123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WEST GENESEE ST.",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130271126",
            "telephone_number": "315-635-3671",
            "fax_number": "315-635-6482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W GENESEE ST",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130271126",
            "telephone_number": "315-635-3671",
            "fax_number": "315-635-6482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R PEARCE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-09",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "PEARCE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "315-635-3671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "044259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baldwinsville Gentle Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baldwinsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.