Organization Active NPI

Pearl Family Dentistry

  • Dental Clinic/Center
  • Merced, CA
National Provider Identifier
1326679804
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PEARL FAMILY DENTISTRY
Practice address
676 Loughborough Dr
Merced, CA 95348-2601
Phone
(209) 383-6133
Fax
(209) 383-6421
NPI assigned
Feb 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Authorized official

Name
Dr. Jasvinder Singh BadwalzNPI 1710193453
Title
Owner Dentist
Phone
(209) 383-6133

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

676 Loughborough Dr
Merced, CA 95348-2601

Mailing address

676 Loughborough Dr
Merced, CA 95348-2601
Phone (209) 383-6133

National Provider Directory

National Provider Directory

Locations

676 Loughborough Dr
Merced, CA 95348
Phone (209) 383-6133

Practitioners & affiliated clinicians

Practitioners 2

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": "1580688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580688000000",
    "number": "1326679804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 LOUGHBOROUGH DR",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482601",
            "telephone_number": "209-383-6133",
            "fax_number": "209-383-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 LOUGHBOROUGH DR",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482601",
            "telephone_number": "209-383-6133",
            "fax_number": "209-383-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-03",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A",
        "authorized_official_last_name": "BADWALZ",
        "authorized_official_first_name": "JASVINDER",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "209-383-6133",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.