Organization Active NPI

Pearland Smiles PLLC

Doing business as Ivy Orthodontics & Family Dentistry

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Pearland, TX
National Provider Identifier
1679313076
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
PEARLAND SMILES PLLC
Doing business as
Ivy Orthodontics & Family Dentistry
Practice address
11021 Shadow Creek Pkwy Ste 108
Pearland, TX 77584-7401
Phone
(281) 241-1411
NPI assigned
May 31, 2024
Last updated
May 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Authorized official

Name
Dr. Yasas Shri Nalaka Jayaratne, BDS, MDS, PHDNPI 1205242427
Title
President
Phone
(857) 488-3009

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU Primary

Addresses

Primary practice location

11021 Shadow Creek Pkwy Ste 108
Pearland, TX 77584-7401

Mailing address

11021 Shadow Creek Pkwy Ste 108
Pearland, TX 77584-7401
Phone (281) 241-1411

Other names 1

  • Ivy Orthodontics & Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

11021 Shadow Creek Pkwy
#108
Pearland, TX 77584
Phone (281) 241-1411

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1679313076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11021 SHADOW CREEK PKWY STE 108",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847401",
            "telephone_number": "281-241-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11021 SHADOW CREEK PKWY STE 108",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847401",
            "telephone_number": "281-241-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLAND SMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "JAYARATNE",
        "authorized_official_first_name": "YASAS",
        "authorized_official_middle_name": "SHRI NALAKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "857-488-3009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BDS, MDS, PHD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ivy Orthodontics & Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.