William Keith Pearson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

014703 Issued in MO

Practice address

40 N Kingshighway Blvd Apt 4L
Saint Louis, MO 63108-1350

Phone

(314) 367-5820

Fax

(314) 367-6326

NPI assigned

Aug 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443484800000",
    "number": "1699776153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 N KINGSHIGHWAY BLVD APT 4L",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081350",
            "telephone_number": "314-367-5820",
            "fax_number": "314-367-6326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N KINGSHIGHWAY BLVD APT 4L",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081350",
            "telephone_number": "314-367-5820",
            "fax_number": "314-367-6326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "WILLIAM",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2015-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "014703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "402458855",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molly Ann Pearson, ED.S.
• Rachael M Pearson, PT, DPT
• Rebecca Pearson, PA-C
• Sheri Pearson
• Tosha Pearson, LPC
• Pec South County LLC
• Pec Warson, LLC
• Pecaut Chiropractic PC
• Linda Christine Pecaut, D.C.
• Erin Pechacek

• Dentist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.