Active NPI
Kenneth David Pierson, D.D.S.
- Dentist
- Tulare, CA
National Provider Identifier
1902044183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 47308
- Practice address
- 1979 Hillman St
Tulare, CA 93274-1601 - Phone
- (559) 967-3840
- NPI assigned
- Jan 27, 2009
- Last updated
- Sep 23, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 47308 | CA | Primary |
| Dentist | 122300000X | 0095 | MP | |
| Dentist | 122300000X | DN17273 | FL |
Addresses
Primary practice location
1979 Hillman St
Tulare, CA 93274-1601
Mailing address
1979 Hillman St
Tulare, CA 93274-1601
Phone (559) 967-3840
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN17273 | FL | MD | Dentist |
| 0095 | MP | MD | Dentist |
| 47308 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saipan Seventh-Day Adventist Clinic | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Saipan, MP
- NPI 1639317480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790121600000",
"number": "1902044183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1979 HILLMAN ST",
"city": "TULARE",
"state": "CA",
"postal_code": "932741601",
"telephone_number": "559-967-3840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1979 HILLMAN ST",
"city": "TULARE",
"state": "CA",
"postal_code": "932741601",
"telephone_number": "559-967-3840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERSON",
"first_name": "KENNETH",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-27",
"last_updated": "2026-09-23",
"certification_date": "2026-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "47308",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MP",
"license": "0095",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN17273",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulare, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.