Pearl Dental Group LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PEARL DENTAL GROUP LLC

Doing business as

Pearl Dental Group

Practice address

6031 Jones Creek Rd.
Baton Rouge, LA 70817

Phone

(225) 256-1163

Fax

(225) 351-8859

NPI assigned

Sep 15, 2020

Last updated

May 11, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andre H Bruni, DDSNPI 1639381890

Title

Owner

Phone

(225) 256-1163

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Pearl Dental Group Doing business as

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andre H Bruni, DDS

  • General Practice Dentistry
  • Baton Rouge, LA
  • NPI 1639381890
  NPD Authorized official
• Thomas Blake Mann

  • General Practice Dentistry
  • Baton Rouge, LA
  • NPI 1689312407
  NPD
• Jessica Bruni

  • General Practice Dentistry
  • Baton Rouge, LA
  • NPI 1053523233
  NPD (past)
• Allie Lee Edwards, DDS

  • General Practice Dentistry
  • Baton Rouge, LA
  • NPI 1629904420
  NPD (past)
• Ross McCartney Lang, DMD

  • Dentist
  • Baton Rouge, LA
  • NPI 1548936388
  NPD (past)
• Hunter Misse

  • General Practice Dentistry
  • Baton Rouge, LA
  • NPI 1053110684
  NPD (past)
• Rachel Nery

  • General Practice Dentistry
  • Baton Rouge, LA
  • NPI 1740972892
  NPD (past)
• Juliana Nguyen

  • General Practice Dentistry
  • Baton Rouge, LA
  • NPI 1922793918
  NPD (past)

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1790390888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 HIGHLAND RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708104306",
            "telephone_number": "225-256-1163",
            "fax_number": "225-351-8859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6031 JONES CREEK RD.",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70817",
            "telephone_number": "225-256-1163",
            "fax_number": "225-351-8859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7017 Perkins Rd",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708084320",
            "country_code": "US",
            "telephone_number": "225-277-3311",
            "fax_number": "225-351-8859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEARL DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-15",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "BRUNI",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-256-1163",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1053523233",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1639381890",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearl Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pearl Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Felicia Pealer
• Allen Roy Pearce, MD
• Catherine Frasier Pearce, SLP
• Heather Pearce, LMT
• Katherine Farries Pearce, M.D.
• Heidi Pearley
• Lily Pearley
• Amanda W Pearson, MD
• Brenda Pearson, M.ED.
• Charles Lane Pearson Jr., MD

• Dental Clinic/Center in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Dental Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.