Organization Active NPI

Kenneth W Pierson DDS Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Tulare, CA
National Provider Identifier
1508086299
Registry record updated Jun 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
KENNETH W PIERSON DDS INC
Practice address
1979 Hillman St
Tulare, CA 93274-1601
Phone
(559) 732-4279
Fax
(559) 636-4455
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2010

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

Authorized official

Name
Dr. Kenneth W Pierson, DDS, MPHNPI 1174546675
Title
President
Phone
(559) 732-4279

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
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

1979 Hillman St
Tulare, CA 93274-1601

Mailing address

1979 Hillman St
Tulare, CA 93274-1601
Phone (559) 732-4279

National Provider Directory

National Provider Directory
Tax ID family
Hapy Bear Surgery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1979 Hillman St
Tulare, CA 93274
Phone (559) 732-4279

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": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275868800000",
    "number": "1508086299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1979 HILLMAN ST",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932741601",
            "telephone_number": "559-732-4279",
            "fax_number": "559-636-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1979 HILLMAN ST",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932741601",
            "telephone_number": "559-732-4279",
            "fax_number": "559-636-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH W PIERSON DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2010-06-07",
        "status": "A",
        "authorized_official_last_name": "PIERSON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-732-4279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MPH"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulare, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; 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.