William Edwin Pearson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D1789 Issued in ID

Practice address

749 Oxford Dr
Idaho Falls, ID 83401-4203

Phone

(208) 529-0420

Fax

(208) 522-7971

NPI assigned

Oct 10, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831287523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 E 25TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046461",
            "telephone_number": "208-529-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 OXFORD DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014203",
            "telephone_number": "208-529-0420",
            "fax_number": "208-522-7971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "WILLIAM",
        "middle_name": "EDWIN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D1789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pearl Group Homes
• Pearl Group Homes
• Pearl Healthcare Centers, Inc
• Bradley Dale Pearson, MPT
• Colby Pearson, DO
• Dottie Peck, REEGT, CNIM
• Pediatric Development Clinic (PDC)
• Benjamin Richard Pedroza Jr., CPSS/CPRC/CPRC-SUP
• Carey Peeples
• Michael Pekala, CRNA

• General Practice Dentistry in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.