NPIMap

Organization Active NPI

Pearls Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Pflugerville, TX
National Provider Identifier
1073220422
Registry record updated Nov 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
PEARLS ORTHODONTICS
Practice address
801 Wells Branch Parkway Suite 150
Pflugerville, TX 78660
Phone
(787) 420-0942
NPI assigned
Nov 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2022

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

Authorized official

Name
Patricia Ortiz DiazNPI 1215356621
Title
Sole MBR
Phone
(512) 720-6612

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

801 Wells Branch Parkway Suite 150
Pflugerville, TX 78660

Mailing address

801 Wells Branch Parkway Suite 150
Pflugerville, TX 78660

National Provider Directory

National Provider Directory

Locations

801 W Wells Branch Pkwy
Ste 150
Pflugerville, TX 78660
Phone (787) 420-0942

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": "1667433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668902400000",
    "number": "1073220422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 WELLS BRANCH PARKWAY SUITE 150",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "78660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 WELLS BRANCH PARKWAY SUITE 150",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "78660",
            "telephone_number": "787-420-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLS ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-11-20",
        "certification_date": "2022-11-20",
        "status": "A",
        "authorized_official_last_name": "ORTIZ DIAZ",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "512-720-6612"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2022; 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.