Active NPI
Donald Lee Pearson, D.D.S.
- Dentist
- California City, CA
National Provider Identifier
1396998498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- CA24586
- Practice address
- 22844 Virgina Blvd
California City, CA 93505 - Phone
- (661) 821-1839
- Fax
- (661) 821-1839
- NPI assigned
- Nov 3, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | CA24586 | CA | Primary |
Addresses
Primary practice location
22844 Virgina Blvd
California City, CA 93505
Mailing address
23251 Dart Drive
Tehachapi, CA 93561
Phone (661) 821-1839
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
| License | State | Type | Specialty |
|---|---|---|---|
| CA24586 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Donald Lee Pearson DDS Dental Corporation | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Tehachapi, CA
- NPI 1174195093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225670400000",
"number": "1396998498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23251 DART DRIVE",
"city": "TEHACHAPI",
"state": "CA",
"postal_code": "93561",
"telephone_number": "661-821-1839",
"fax_number": "661-821-1839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22844 VIRGINA BLVD",
"city": "CALIFORNIA CITY",
"state": "CA",
"postal_code": "93505",
"telephone_number": "661-821-1839",
"fax_number": "661-821-1839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "DONALD",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-03",
"last_updated": "2008-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "CA24586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in California City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.