Pristine Pearls LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PRISTINE PEARLS LLC

Doing business as

Pristine Pearls

Practice address

2407 N Milwaukee Ave Ste 101
Chicago, IL 60647-6859

Phone

(312) 471-6555

Fax

(312) 471-6554

NPI assigned

Oct 3, 2024

Organization subpart

No

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

Authorized official

Name

Jason Brody

Title

Credentialing Manager

Phone

(312) 471-6555

Specialties & licenses 1

Addresses

Other names 1

• Pristine Pearls Doing business as

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1508685942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 N MILWAUKEE AVE STE 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606476859",
            "telephone_number": "312-471-6555",
            "fax_number": "312-471-6554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 N MILWAUKEE AVE STE 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606476859",
            "telephone_number": "312-471-6555",
            "fax_number": "312-471-6554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISTINE PEARLS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "BRODY",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "312-471-6555"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pristine Pearls",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prism Holistic Care LTD (Prism Direct Lab)
• Prism Medical Center of Il NFP
• Prism Optics, Inc. (Prism Optical)
• Prism Plastic Surgery PLLC
• Pristine Family Dentistry LTD
• Jennifer Pritchard
• Olivia Pritchard
• Rachael Rebecca Pritchard, MSN, APRN, FNP-C
• Liza Pritchyk
• Jordan B Pritikin, M.D.

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.