Organization Active NPI

Pearl Management, LLC

  • General Practice Dentistry
  • Charlotte, NC
National Provider Identifier
1831695246
Registry record updated Apr 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PEARL MANAGEMENT, LLC
Practice address
200 S Tryon St Ste 110
Charlotte, NC 28202-3207
Phone
(704) 414-5510
NPI assigned
Apr 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2018

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

Authorized official

Name
Crystal Henderson
Title
Practice Administrator
Phone
(704) 414-5510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

200 S Tryon St Ste 110
Charlotte, NC 28202-3207

Mailing address

200 S Tryon St Ste 110
Charlotte, NC 28202-3207
Phone (704) 414-5510

National Provider Directory

National Provider Directory

Locations

200 S Tryon St
Ste 110
Charlotte, NC 28202
Phone (704) 414-5510

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": "1522800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522800000000",
    "number": "1831695246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S TRYON ST STE 110",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282023207",
            "telephone_number": "704-414-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S TRYON ST STE 110",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282023207",
            "telephone_number": "704-414-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-04",
        "last_updated": "2018-04-04",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "704-414-5510"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; 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.