Donald Lee Pearson DDS Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DONALD LEE PEARSON DDS DENTAL CORPORATION

Doing business as

Peachy Dental

Practice address

19737 W Valley Blvd
Tehachapi, CA 93561-8601

Phone

(661) 823-7644

Fax

(661) 823-8561

NPI assigned

Jul 12, 2021

Last updated

Jul 12, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Donald Lee Pearson, DDSNPI 1396998498

Title

Owner/ Dentist

Phone

(661) 823-7644

Specialties & licenses 1

Addresses

Other names 1

• Peachy Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donald Lee Pearson, D.D.S.

  • Dentist
  • California City, CA
  • NPI 1396998498
  NPD Authorized official

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626048000000",
    "number": "1174195093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19737 W VALLEY BLVD",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935618601",
            "telephone_number": "661-823-7644",
            "fax_number": "661-823-8561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19737 W VALLEY BLVD",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935618601",
            "telephone_number": "661-823-7644",
            "fax_number": "661-823-8561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD LEE PEARSON DDS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "661-823-7644",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peachy Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vinnette Ann Detloff, MASSAGE THERAPIST
• Debby D Diamond, LCSW
• Jennifer Diaz, LVN
• Jacqueline Garcia Dolan, M.S.
• Matthew Thomas Dolan
• Miguel Angel Dorador
• Michelle Nicole Doucette, LMFT90562
• Dr. Ana R Reyna a Professional Corporation
• Dr. John E. Fagan, Optometrist, Inc. (Dr. John E. Fagan)
• Kelly Nesson Dunn, PSY.D.

• General Practice Dentistry in Tehachapi, CA
• Providers in Tehachapi, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.