NPIMap

Organization Active NPI

Pearl Dental Care

  • Dentist
  • Hamden, CT
National Provider Identifier
1619121613
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6597 Issued in CT
Legal business name
PEARL DENTAL CARE
Practice address
1834 Dixwell Ave
Hamden, CT 06514-3106
Phone
(203) 281-7722
Fax
(203) 288-4772
NPI assigned
Nov 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Authorized official

Name
Dr. Gary R Pearl, D.M.DNPI 1588641575
Title
Owner/Dentist
Phone
(203) 281-7722

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 6597 CT Primary

Addresses

Primary practice location

1834 Dixwell Ave
Hamden, CT 06514-3106

Mailing address

1834 Dixwell Ave
Hamden, CT 06514-3106
Phone (203) 281-7722

National Provider Directory

National Provider Directory

Locations

1834 Dixwell Ave
Hamden, CT 06514
Phone (203) 281-7722

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1619121613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 DIXWELL AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065143106",
            "telephone_number": "203-281-7722",
            "fax_number": "203-288-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 DIXWELL AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065143106",
            "telephone_number": "203-281-7722",
            "fax_number": "203-288-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-05",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "PEARL",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "203-281-7722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CT",
            "license": "6597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.