Active NPI
The Dentists on Pearl
- Dental Clinic/Center
- Essex Junction, VT
National Provider Identifier
1982104675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 016.0094121
- Legal business name
- THE DENTISTS ON PEARL
- Practice address
- 49 Pearl St
Essex Junction, VT 05452-3622 - Phone
- (802) 878-4631
- Fax
- (802) 878-8481
- NPI assigned
- Feb 19, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sarah Evans, DDS
- Title
- Owner/Dentist
- Phone
- (802) 309-4431
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 016.0094121 | VT | Primary |
Addresses
Primary practice location
49 Pearl St
Essex Junction, VT 05452-3622
Mailing address
313 S Bay Cir
Colchester, VT 05446-3890
Phone (802) 309-4431
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992071799 | Medicaid | VT | |
| 134637810 | Medicaid | VT | |
| 1306106083 | Medicaid | VT |
National Provider Directory
National Provider DirectoryLocations
49 Pearl St
Essex Junction, VT 05452
Phone (802) 878-4631
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Essex Junction, VT
- NPI 1346372810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518998400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1518998400000",
"number": "1982104675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 S BAY CIR",
"city": "COLCHESTER",
"state": "VT",
"postal_code": "054463890",
"telephone_number": "802-309-4431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 PEARL ST",
"city": "ESSEX JUNCTION",
"state": "VT",
"postal_code": "054523622",
"telephone_number": "802-878-4631",
"fax_number": "802-878-8481"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE DENTISTS ON PEARL",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-19",
"last_updated": "2018-02-19",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "OWNER/DENTIST",
"authorized_official_telephone_number": "802-309-4431",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "VT",
"license": "016.0094121",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1992071799",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "134637810",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1306106083",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Essex Junction, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.