Organization Active NPI

Pearl Dental Group

  • General Practice Dentistry
  • Vista, CA
National Provider Identifier
1477695401
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
45944 Issued in CA
Legal business name
PEARL DENTAL GROUP
Practice address
771 E Vista Way
Ste 101
Vista, CA 92084
Phone
(760) 560-0600
Fax
(760) 560-0602
NPI assigned
Feb 13, 2007
Last updated
Jan 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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

Authorized official

Name
Dr. Ashraf M Okba, DDSNPI 1659410199
Title
President
Phone
(760) 560-0600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 45944 CA Primary

Addresses

Primary practice location

771 E Vista Way
Ste 101
Vista, CA 92084

Mailing address

771 E Vista Way
Ste 101
Vista, CA 92084
Phone (760) 560-0600

National Provider Directory

National Provider Directory

Locations

771 E Vista Way
Ste 101
Vista, CA 92084
Phone (760) 560-0600

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1477695401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 E VISTA WAY",
            "address_2": "STE 101",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "92084",
            "telephone_number": "760-560-0600",
            "fax_number": "760-560-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 E VISTA WAY",
            "address_2": "STE 101",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "92084",
            "telephone_number": "760-560-0600",
            "fax_number": "760-560-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "OKBA",
        "authorized_official_first_name": "ASHRAF",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-560-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.