John Alexander Pearson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

4390 Issued in NC

Practice address

8301 Bandford Way
Suite 121
Raleigh, NC 27615-2767

Phone

(919) 876-4746

Fax

(919) 876-5071

NPI assigned

Mar 3, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 29, 2012 through May 29, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• DRS Pearson Jefferson and Camp PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Raleigh, NC
  • NPI 1730299835
  NPD (past)
• Eric D. Hoverstad, DDS PLLC III

  • Oral and Maxillofacial Surgery (Dentist)
  • Raleigh, NC
  • NPI 1023821683
  NPD (past)

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1689641128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 BANDFORD WAY",
            "address_2": "SUITE 121",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152767",
            "telephone_number": "919-876-4746",
            "fax_number": "919-876-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 BANDFORD WAY",
            "address_2": "SUITE 121",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152767",
            "telephone_number": "919-876-4746",
            "fax_number": "919-876-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "JOHN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "4390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8996764",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "96764",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Satoria Pearce, NCC, LCMHCA, MS
• Dnya Natalie Pearson
• Elizabeth Pearson
• Halin Pearson
• Jasmine Nicole Pearson, LCMHC
• Laura Lee Pearson
• Pam Genise Pearson
• Mary Carolyn Peavey, M.D.
• Nadine Pechter, MD
• Hannah Marie Pedersen

• Dentist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.