Organization Active NPI

Pearl Cosmetic Dentistry, PLLC

  • Dentist
  • Kingwood, TX
National Provider Identifier
1558783266
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PEARL COSMETIC DENTISTRY, PLLC
Practice address
25653 Highway 59 N
Ste 207
Kingwood, TX 77339
Phone
(609) 271-0278
NPI assigned
Jan 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Authorized official

Name
Sang Pil Yu, DDS
Title
Owner
Phone
(609) 271-0278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

25653 Highway 59 N
Ste 207
Kingwood, TX 77339

Mailing address

3133 Buffalo Speedway Apt 8208
Houston, TX 77098-1829
Phone (609) 271-0278

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1558783266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3133 BUFFALO SPEEDWAY APT 8208",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770981829",
            "telephone_number": "609-271-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25653 HIGHWAY 59 N",
            "address_2": "STE 207",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "77339",
            "telephone_number": "609-271-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL COSMETIC DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "SANG PIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-271-0278",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.