Organization Active NPI

Peara Dental Corporation

  • Oral and Maxillofacial Surgery (Dentist)
  • Merced, CA
National Provider Identifier
1396137675
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
15274 Issued in CA
Legal business name
PEARA DENTAL CORPORATION
Practice address
550 W 26TH St
Merced, CA 95340-2837
Phone
(209) 723-0767
NPI assigned
Feb 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Authorized official

Name
Delma Danielle Peara
Title
Receptionist
Phone
(209) 723-0767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 15274 CA Primary

Addresses

Primary practice location

550 W 26TH St
Merced, CA 95340-2837

Mailing address

550 W 26TH St
Merced, CA 95340-2837
Phone (209) 723-0767

National Provider Directory

National Provider Directory

Locations

550 W 26th St
Merced, CA 95340
Phone (209) 723-0767

Practitioners & affiliated clinicians

Practitioners 1

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": "1424736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1396137675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 W 26TH ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953402837",
            "telephone_number": "209-723-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W 26TH ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953402837",
            "telephone_number": "209-723-0767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-24",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "PEARA",
        "authorized_official_first_name": "DELMA",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "209-723-0767"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "15274",
            "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 24, 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.