NPIMap

Organization Active NPI

Pearl Dental PC.

  • General Practice Dentistry
  • Yonkers, NY
National Provider Identifier
1235303389
Registry record updated Apr 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
042480 Issued in NY
Legal business name
PEARL DENTAL PC.
Practice address
462 S Broadway
Yonkers, NY 10705-2340
Phone
(914) 376-6138
NPI assigned
Apr 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2008

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

Authorized official

Name
Mr. John P. ThomasNPI 1104979483
Title
Dentist
Phone
(914) 376-6138

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 042480 NY Primary

Addresses

Primary practice location

462 S Broadway
Yonkers, NY 10705-2340

Mailing address

462 S Broadway
Yonkers, NY 10705-2340
Phone (914) 376-6138

Other identifiers 1

IdentifierTypeStateIssuer
01168294MedicaidNY

National Provider Directory

National Provider Directory

Locations

462 S Broadway
Yonkers, NY 10705
Phone (914) 376-6138

Practitioners & affiliated clinicians

Practitioners 4

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": "1208563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208563200000",
    "number": "1235303389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 S BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107052340",
            "telephone_number": "914-376-6138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 S BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107052340",
            "telephone_number": "914-376-6138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL DENTAL PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-19",
        "last_updated": "2008-04-19",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "914-376-6138",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "042480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01168294",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2008; 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.