Active NPI
MP Family Dental PLLC
Doing business as Pearl Dentistry
- Dentist
- Caldwell, ID
National Provider Identifier
1396656427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- MP FAMILY DENTAL PLLC
- Doing business as
- Pearl Dentistry
- Practice address
- 4012 Brian Ave
Caldwell, ID 83605-6305 - Phone
- (208) 728-4500
- NPI assigned
- Sep 16, 2026
- 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
- Dr. Melissa Marie Pysnak, DDS
- Title
- Owner
- Phone
- (801) 309-4444
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
4012 Brian Ave
Caldwell, ID 83605-6305
Mailing address
1531 Banff St
Middleton, ID 83644-4402
Phone (801) 309-4444
Other names 1
- Pearl Dentistry
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Boise, ID
- NPI 1528610359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789516800000",
"number": "1396656427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1531 BANFF ST",
"city": "MIDDLETON",
"state": "ID",
"postal_code": "836444402",
"telephone_number": "801-309-4444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4012 BRIAN AVE",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836056305",
"telephone_number": "208-728-4500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MP FAMILY DENTAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-16",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A",
"authorized_official_last_name": "PYSNAK",
"authorized_official_first_name": "MELISSA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "801-309-4444",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pearl Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Caldwell, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.