Active NPI
Stephen G Pearson, DDS
- Dentist
- Morgan Hill, CA
National Provider Identifier
1740292648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 25965
- Practice address
- 17705 Hale Ave
Suite B-4
Morgan Hill, CA 95037-4340 - Phone
- (408) 779-8647
- NPI assigned
- Aug 12, 2006
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 25965 | CA | Primary |
| General Practice Dentistry | 1223G0001X | 25965 | CA |
Addresses
Primary practice location
17705 Hale Ave
Suite B-4
Morgan Hill, CA 95037-4340
Mailing address
17705 Hale Ave
Suite B-4
Morgan Hill, CA 95037-4340
Phone (408) 779-8647
Medicare participation
Medicare enrollment files- 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
- Opted out of Medicare
- Yes, effective Dec 16, 2015 through Dec 16, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25965 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1740292648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17705 HALE AVE",
"address_2": "SUITE B-4",
"city": "MORGAN HILL",
"state": "CA",
"postal_code": "950374340",
"telephone_number": "408-779-8647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17705 HALE AVE",
"address_2": "SUITE B-4",
"city": "MORGAN HILL",
"state": "CA",
"postal_code": "950374340",
"telephone_number": "408-779-8647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "STEPHEN",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "25965",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "25965",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morgan Hill, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.