Organization Active NPI

Pearls Dental LLC

  • General Practice Dentistry
  • Robbinsville, NJ
National Provider Identifier
1699093799
Registry record updated May 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PEARLS DENTAL LLC
Practice address
1 Union St
Suite 205
Robbinsville, NJ 08691-4219
Phone
(609) 509-4090
Fax
(866) 792-8513
NPI assigned
May 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2010

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

Authorized official

Name
Dr. Avinash Kuttuva, DDS BDS
Title
Dentist
Phone
(609) 509-4090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1 Union St
Suite 205
Robbinsville, NJ 08691-4219

Mailing address

1 Union St
Suite 205
Robbinsville, NJ 08691-4219
Phone (609) 509-4090

Other identifiers 1

IdentifierTypeStateIssuer
0186881MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273708800000",
    "number": "1699093799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 UNION ST",
            "address_2": "SUITE 205",
            "city": "ROBBINSVILLE",
            "state": "NJ",
            "postal_code": "086914219",
            "telephone_number": "609-509-4090",
            "fax_number": "866-792-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 UNION ST",
            "address_2": "SUITE 205",
            "city": "ROBBINSVILLE",
            "state": "NJ",
            "postal_code": "086914219",
            "telephone_number": "609-509-4090",
            "fax_number": "866-792-8513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLS DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-13",
        "last_updated": "2010-05-13",
        "status": "A",
        "authorized_official_last_name": "KUTTUVA",
        "authorized_official_first_name": "AVINASH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "609-509-4090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS BDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0186881",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Robbinsville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; 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.