Individual provider Active NPI

Lauren Mell Pearce, D.D.S.

  • General Practice Dentistry
  • Spokane, WA
National Provider Identifier
1396023461
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60970412 Issued in WA
Practice address
2607 S Southeast Blvd Ste B180
Spokane, WA 99223-7625
Phone
(509) 381-5634
NPI assigned
Jul 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 018-001815 IL
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE60970412 WA Primary

Addresses

Primary practice location

2607 S Southeast Blvd Ste B180
Spokane, WA 99223-7625

Mailing address

2607 S Southeast Blvd Ste B180
Spokane, WA 99223-7625
Phone (440) 320-7050

Other practice location 1

201 E Huron St
Chicago, IL 60611-3197
Phone (440) 320-7050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
018-001815ILMDDentist
DE60970412WAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1311379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1396023461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 S SOUTHEAST BLVD STE B180",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992237625",
            "telephone_number": "440-320-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 S SOUTHEAST BLVD STE B180",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992237625",
            "telephone_number": "509-381-5634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 E Huron St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606113197",
            "country_code": "US",
            "telephone_number": "440-320-7050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARCE",
        "first_name": "LAUREN",
        "middle_name": "MELL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-23",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "018-001815",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60970412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.