NPIMap

Organization Active NPI

Kenneth W, Pierson DDS Inc.

  • Ambulatory Surgical Clinic/Center
  • Tulare, CA
National Provider Identifier
1609250299
Registry record updated Jul 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
KENNETH W, PIERSON DDS INC.
Practice address
1979 Hillman St
Tulare, CA 93274-1601
Phone
(559) 732-4279
NPI assigned
Jul 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2015

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

Authorized official

Name
Ms. Gloria A Pierson, RN IBCLC
Title
Consultant
Phone
(559) 967-4225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X CA 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

Other names 1

  • Hapy Bear Surgery Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 05C0001978

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
HAPY BEAR SURGERY CENTER, LLC
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Feb 14, 2012
Last certification
Feb 28, 2020
Ownership / control type
Proprietary
Facility address
1979 Hillman Street
Tulare, CA 93274

National Provider Directory

National Provider Directory
Tax ID family
Hapy Bear Surgery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436832000000",
    "number": "1609250299",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH W, PIERSON DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "last_updated": "2015-07-14",
        "status": "A",
        "authorized_official_last_name": "PIERSON",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "559-967-4225",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN IBCLC"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hapy Bear Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulare, CA

Sources for this page

Verify at the official NPI Registry.