Active NPI
Kenneth J Pearson DDS Inc
- Dentist
- SJC, CA
National Provider Identifier
1114033222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 31683
- Legal business name
- KENNETH J PEARSON DDS INC
- Practice address
- 31648 Rancho Viejo Rd #C
SJC, CA 92675 - Phone
- (949) 496-2930
- Fax
- (949) 496-2962
- NPI assigned
- Aug 22, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth John Pearson, DDS
- Title
- President
- Phone
- (949) 496-2930
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 31683 | CA | Primary |
Addresses
Primary practice location
31648 Rancho Viejo Rd #C
SJC, CA 92675
Mailing address
31648 Rancho Viejo Rd #C
SJC, CA 92675
Phone (949) 496-2930
National Provider Directory
National Provider DirectoryLocations
31648 Rancho Viejo Rd
#C
San Juan Capistrano, CA 92675
Phone (949) 496-2930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1114033222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31648 RANCHO VIEJO RD #C",
"city": "SJC",
"state": "CA",
"postal_code": "92675",
"telephone_number": "949-496-2930",
"fax_number": "949-496-2962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31648 RANCHO VIEJO RD #C",
"city": "SJC",
"state": "CA",
"postal_code": "92675",
"telephone_number": "949-496-2930",
"fax_number": "949-496-2962"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENNETH J PEARSON DDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PEARSON",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "949-496-2930",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "31683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in SJC, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.