Steven L Pearl, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19A13428 Issued in IL

Practice address

7104 N Western Ave
Chicago, IL 60645-3418

Phone

(773) 262-4544

Fax

(773) 262-4549

NPI assigned

Aug 22, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639285307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7104 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606453418",
            "telephone_number": "773-262-4544",
            "fax_number": "773-262-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7104 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606453418",
            "telephone_number": "773-262-4544",
            "fax_number": "773-262-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARL",
        "first_name": "STEVEN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19A13428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pearl Dental LLC
• Pearl Dental, LLC (advanced dental makeover)
• Pearl Medical Center S.C.
• Pearl of Montclare, LLC
• Jodie L Pearl, MD
• Pearle Vision (eyeworks of chicago dba)
• Pearle Vision Inc
• Cathy J. Pearlman, OTR/L
• Kenneth Pearlman, MD
• Laura Pearlman

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.