Organization Active NPI

Stanley Pearlson DMD, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Manchester, CT
National Provider Identifier
1720171499
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
3871 Issued in CT
Legal business name
STANLEY PEARLSON DMD, PC
Practice address
361 East Center Street
Manchester, CT 06040-4445
Phone
(860) 647-9536
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Stanley Pearlson, DMDNPI 1043246671
Title
President
Phone
(860) 647-9536

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 3871 CT Primary

Addresses

Primary practice location

361 East Center Street
Manchester, CT 06040-4445

Mailing address

361 East Center Street
Manchester, CT 06040-4445
Phone (860) 647-9536

National Provider Directory

National Provider Directory

Locations

361 E Center St
Manchester, CT 06040
Phone (860) 647-9536

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720171499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 EAST CENTER STREET",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404445",
            "telephone_number": "860-647-9536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 EAST CENTER STREET",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404445",
            "telephone_number": "860-647-9536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY PEARLSON DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEARLSON",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-647-9536",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CT",
            "license": "3871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.