Organization Active NPI

Ismail Elsherif DDS a Prof Corp

Doing business as Pearl Dental Care

  • Dentist
  • Irvine, CA
National Provider Identifier
1063630739
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
47883 Issued in CA
Legal business name
ISMAIL ELSHERIF DDS A PROF CORP
Doing business as
Pearl Dental Care
Practice address
4980 Barranca Pkwy
#203
Irvine, CA 92604-8653
Phone
(949) 551-5805
Fax
(949) 551-5835
NPI assigned
Apr 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Ismail Ibrahim Elsherif, DO
Title
President
Phone
(626) 617-8079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 47883 CA Primary

Addresses

Primary practice location

4980 Barranca Pkwy
#203
Irvine, CA 92604-8653

Mailing address

4980 Barranca Pkwy
#203
Irvine, CA 92604-8653
Phone (949) 551-5805

Other names 1

  • Pearl Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

4980 Barranca Pkwy
Ste 203
Irvine, CA 92604
Phone (949) 551-5805

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1063630739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4980 BARRANCA PKWY",
            "address_2": "#203",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926048653",
            "telephone_number": "949-551-5805",
            "fax_number": "949-551-5835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4980 BARRANCA PKWY",
            "address_2": "#203",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926048653",
            "telephone_number": "949-551-5805",
            "fax_number": "949-551-5835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISMAIL ELSHERIF DDS A PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "ELSHERIF",
        "authorized_official_first_name": "ISMAIL",
        "authorized_official_middle_name": "IBRAHIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-617-8079",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "47883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearl Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.