Active NPI
Peara Dental Corporation
- Oral and Maxillofacial Surgery (Dentist)
- Merced, CA
National Provider Identifier
1396137675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 15274
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 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 DirectoryLocations
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.
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Merced, CA
- NPI 1841338530
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.