Pearl Cda-Moore, DDS, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PEARL CDA-MOORE, DDS, LLC

Doing business as

Pearl Cosmetic Dentistry & Aesthetics

Practice address

112 Jefferson Ave Ste 2
Columbus, OH 43215-1861

Phone

(614) 914-8338

Fax

(614) 917-8392

NPI assigned

Sep 25, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Whitney Monet Moore, DDS

Title

Dentist/Managing Member

Phone

(614) 914-8338

Specialties & licenses 1

Addresses

Other names 1

• Pearl Cosmetic Dentistry & Aesthetics Doing business as

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506297600000",
    "number": "1972012748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 JEFFERSON AVE STE 2",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432151861",
            "telephone_number": "614-914-8338",
            "fax_number": "614-914-8392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 JEFFERSON AVE STE 2",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432151861",
            "telephone_number": "614-914-8338",
            "fax_number": "614-917-8392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL CDA-MOORE, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-25",
        "last_updated": "2017-09-25",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_middle_name": "MONET",
        "authorized_official_title_or_position": "DENTIST/MANAGING MEMBER",
        "authorized_official_telephone_number": "614-914-8338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearl Cosmetic Dentistry & Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jayleyana Peake
• Honey Peaks
• Malena Peaks
• Rachelle Pearce, LSW
• Pearl Behavioral Health
• Kelly Pearl, APRN CNP
• Pearle Vision Inc
• Pearle Vision Inc
• Pearle Vision Inc
• Lee David Pearlman, DPM

• General Practice Dentistry in Columbus, OH
• Providers in Columbus, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2017; 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.