32 Pearls Family Dentistry, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12011066A Issued in IN

Legal business name

32 PEARLS FAMILY DENTISTRY, INC

Doing business as

32 Pearls

Practice address

15045 State Road 23
Granger, IN 46530-9666

Phone

(574) 855-3829

NPI assigned

Jun 16, 2015

Last updated

Jun 16, 2015By 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

Dr. Avis Lorraine Barker, D.M.D

Title

Ceo/ Dentist

Phone

(574) 855-3829

Specialties & licenses 1

Addresses

Other names 1

• 32 Pearls Doing business as

Locations

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1255712154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15045 STATE ROAD 23",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465309666",
            "telephone_number": "574-855-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15045 STATE ROAD 23",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465309666",
            "telephone_number": "574-855-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "32 PEARLS FAMILY DENTISTRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "BARKER",
        "authorized_official_first_name": "AVIS",
        "authorized_official_middle_name": "LORRAINE",
        "authorized_official_title_or_position": "CEO/ DENTIST",
        "authorized_official_telephone_number": "574-855-3829",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12011066A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "32 Pearls",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Granger, IN
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.