Organization Active NPI

The Dentists on Pearl

  • Dental Clinic/Center
  • Essex Junction, VT
National Provider Identifier
1982104675
Registry record updated Feb 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
016.0094121 Issued in VT
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

Updated by the provider on Feb 19, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1992071799MedicaidVT
134637810MedicaidVT
1306106083MedicaidVT

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.