Pearson Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

PEARSON PEDIATRIC DENTISTRY

Practice address

2041 Martin Luther King Jr Ave SE Ste M11
Washington, DC 20020-7000

Phone

(202) 889-5200

Fax

(202) 889-5731

NPI assigned

Oct 10, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Tarasha Pearson, DDSNPI 1134197460

Title

Managing Member

Phone

(202) 889-5200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Tarasha Pearson, DDS

  • Pediatric Dentistry
  • Washington, DC
  • NPI 1134197460
  NPD Authorized official
• Oswald Norris Thompson, DDS

  • Pediatric Dentistry
  • Washington, DC
  • NPI 1932117843
  NPD (past)

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539129600000",
    "number": "1235604711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14709 PARSON WEEMS LOOP",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221933261",
            "telephone_number": "703-583-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 MARTIN LUTHER KING JR AVE SE STE M11",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200207000",
            "telephone_number": "202-889-5200",
            "fax_number": "202-889-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARSON PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-10",
        "last_updated": "2018-10-10",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "TARASHA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "202-889-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "074575400",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa Diane Pearce, M.D.
• Gwen Enfield Pearl, LCSW
• David Pearle
• Arielle Pearlman
• Allen V. Pearmon
• Thomas Joseph Pearson-Green
• Ashley Pearson, HHA
• Gail D Pearson, MD
• Gail D. Pearson, MD
• Gregory Pearson, PSYD

• Pediatric Dentistry in Washington, DC
• Providers in Washington, DC by specialty
• Pediatric Dentistry in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; 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.