Active NPI
Marc Evan Pearlstein, DMD MSD
- Periodontics
- Swampscott, MA
National Provider Identifier
1508936162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 19042
- Practice address
- 38 Stanley Road
Swampscott, MA 01907 - Phone
- (781) 254-0945
- NPI assigned
- Nov 9, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 19042 | MA | Primary |
| Periodontics | 1223P0300X | 3420 | NH |
Addresses
Primary practice location
38 Stanley Road
Swampscott, MA 01907
Mailing address
38 Stanley Road
Swampscott, MA 01907
Phone (781) 254-0945
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 |
|---|---|---|---|
| 19042 | MA | MD | Periodontist |
| 3420 | NH | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236729600000",
"number": "1508936162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 STANLEY ROAD",
"city": "SWAMPSCOTT",
"state": "MA",
"postal_code": "01907",
"telephone_number": "781-254-0945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 STANLEY ROAD",
"city": "SWAMPSCOTT",
"state": "MA",
"postal_code": "01907",
"telephone_number": "781-254-0945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARLSTEIN",
"first_name": "MARC",
"middle_name": "EVAN",
"name_prefix": "Dr.",
"credential": "DMD MSD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-09",
"last_updated": "2009-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MA",
"license": "19042",
"primary": true
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NH",
"license": "3420",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Swampscott, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.