Pearson Dental Services, PLC

Primary specialty

DentistTaxonomy code 122300000X

License

D5104 Issued in AZ

Legal business name

PEARSON DENTAL SERVICES, PLC

Practice address

4244 N 19TH Ave
Phoenix, AZ 85015-5108

Phone

(602) 574-2696

NPI assigned

May 14, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jerry Pearson, DMD

Title

Manager

Phone

(602) 574-2696

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1174901789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 E GOLD DUST AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850201934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4244 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850155108",
            "telephone_number": "602-574-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARSON DENTAL SERVICES, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-574-2696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D5104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey M Pearl, M.D.
• Thea Davies Pearl, MD
• Jacquelyn Pearlmutter, DO
• Pearls Heart Transitional Living Facilities, LLC
• Richard P Pearlstein, M.D.
• Pearson Eyecare Group, LLC
• Caleb Mark Pearson, PSY.D.
• David Gregory Pearson, MD
• Erica Denise Pearson, LMSW
• Erik Pearson

• Dentist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; 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.