Active NPI
Kenneth W Pierson DDS Inc
- Oral and Maxillofacial Surgery (Dentist)
- Tulare, CA
National Provider Identifier
1508086299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kenneth W Pierson, DDS, MPH
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 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 Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Tulare, CA
- NPI 1609250299
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.