Pearl Dental of Norwalk PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PEARL DENTAL OF NORWALK PLLC

Practice address

520 West Ave
Norwalk, CT 06850-4034

Phone

(203) 939-1460

NPI assigned

Feb 1, 2022

Organization subpart

No

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

Authorized official

Name

Kaveeta Channamsetty, DDS

Title

Owner

Phone

(914) 471-5789

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1083367874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 WEST AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068504034",
            "telephone_number": "203-939-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 WEST AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068504034",
            "telephone_number": "203-939-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL DENTAL OF NORWALK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "CHANNAMSETTY",
        "authorized_official_first_name": "KAVEETA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-471-5789",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Pavia, RN, IBCLC
• Allison Pavlicek
• Maria C Pavlis, MD
• Kristine F Paz
• Lorna Peachin
• Erika Jayne Pearl, PA-C
• Kimberly Ann Pearson, APRN
• Pediatric Dental Sedation Specialist of Connecticut LLC
• Hanny Pena
• Sujata Pendyala, D.O.

• Dental Clinic/Center in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Dental Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.