Pearl Dentistry PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

27122 Issued in TX

Legal business name

PEARL DENTISTRY PLLC

Practice address

8714 Fredericksburg Rd
Suite # 106
San Antonio, TX 78240-1200

Phone

(210) 910-1111

NPI assigned

Nov 17, 2014

Organization subpart

No

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

Authorized official

Name

Srikanth Cherukadu Vasalaa, DMD

Title

Owner

Phone

(210) 910-1111

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Federico Gonzalez, DDS

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1437447984
  NPD (past)
• Sylvia Olivia Carlos, DDS

  • General Practice Dentistry
  • Rancho Santa Margarita, CA
  • NPI 1518497643
  NPD (past)

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1538565627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8714 FREDERICKSBURG RD",
            "address_2": "SUITE # 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78240",
            "telephone_number": "210-910-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8714 FREDERICKSBURG RD",
            "address_2": "SUITE # 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401200",
            "telephone_number": "210-910-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-17",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "CHERUKADU VASALAA",
        "authorized_official_first_name": "SRIKANTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-910-1111",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Ann Peacock, RN
• Peak Rehabilitation Consulting Group LLC
• Peanut'S Home Healthcare
• Chadni Pearce
• Jalane Cecelia Pearce, DO
• Pearl Ers Acquisition Partners LLC
• Alicia C Pearl, PA-C
• Nathan Pearl
• Pearle Vision Inc
• Pearle Vision Inc

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; 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.