Pearl Shine Dental LLC

Primary specialty

DentistTaxonomy code 122300000X

License

019029433 Issued in IL

Legal business name

PEARL SHINE DENTAL LLC

Practice address

205 S Randall Rd
Algonquin, IL 60102-9781

Phone

(224) 278-8282

Fax

(224) 278-8080

NPI assigned

Jun 10, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Umapriya Sannapareddy, DDSNPI 1770922346

Title

Dentist

Phone

(224) 278-8282

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Umapriya Sannapareddy, DDS

  • Dentist
  • Algonquin, IL
  • NPI 1770922346
  NPD Authorized official

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1124477013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S RANDALL RD",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601029781",
            "telephone_number": "224-278-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S RANDALL RD",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601029781",
            "telephone_number": "224-278-8282",
            "fax_number": "224-278-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL SHINE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-10",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "SANNAPAREDDY",
        "authorized_official_first_name": "UMAPRIYA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "224-278-8282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019029433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Paterson, MA, NCC
• Nicole Patterson
• Rosemarie Pavlovic, ATC
• Jennifer Ann Pawlak, O.D.
• Michael Thomas Pawlowski, DPT
• Pediatrics and Child Development Clinic Inc.
• Christie Nicole Pellow, PSY.D.
• Diana F Penuela-O'Neill, O.D.
• Perry A. Perez, R.PH.
• Cathryn Perfetti, PHD, LCPC

• Dentist in Algonquin, IL
• Providers in Algonquin, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.