NPIMap

Organization Active NPI

Allen I Pearson DDS PA

  • Pediatric Dentistry
  • Wylie, TX
National Provider Identifier
1184737579
Registry record updated Dec 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
21036 Issued in TX
Legal business name
ALLEN I PEARSON DDS PA
Practice address
520 W Brown St
#B
Wylie, TX 75098
Phone
(972) 429-7070
Fax
(972) 429-7071
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2011

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

Authorized official

Name
Dr. Allen I Pearson, DDSNPI 1275718124
Title
Owner
Phone
(972) 429-7070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 21036 TX Primary

Addresses

Primary practice location

520 W Brown St
#B
Wylie, TX 75098

Mailing address

520 W Brown St
#B
Wylie, TX 75098
Phone (972) 429-7070

Other identifiers 1

IdentifierTypeStateIssuer
1554016-03MedicaidTX

Other names 1

  • Childrens Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

520 W Brown St
Ste B
Wylie, TX 75098
Phone (972) 429-7070

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324857600000",
    "number": "1184737579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 W BROWN ST",
            "address_2": "#B",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "75098",
            "telephone_number": "972-429-7070",
            "fax_number": "972-429-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W BROWN ST",
            "address_2": "#B",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "75098",
            "telephone_number": "972-429-7070",
            "fax_number": "972-429-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN I PEARSON DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2011-12-26",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-429-7070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "21036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1554016-03",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Childrens Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wylie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2011; 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.