PEARSON PEDIATRIC DENTISTRY (NPI# 1235604711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235604711 |
| Entity Type | Organization |
| Organization Name | PEARSON PEDIATRIC DENTISTRY |
| Practice Address |
2041 Martin Luther King Jr Ave Se Ste M11 Washington DC 20020-7000 |
| Mailing Address |
14709 Parson Weems Loop Woodbridge VA 22193-3261 |
| Practice Telephone | 2028895200 |
| Practice Fax Number | 2028895731 |
| Mailing Telephone | 7035831635 |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2018-10-10 |
| Authorized Official Name | DR. TARASHA PEARSON (MANAGING MEMBER) |
| Authorized Official Telephone | 2028895200 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | 074575400 | 05 |
| Street Address |
2041 MARTIN LUTHER KING JR AVE SE STE M11 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20020-7000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043834294 | Monique Holland | Community Health Worker | 3001 O Street Se, Washington, DC 20020 | 2020-06-03 |
| 1215566708 | Ryan Wright | Counselor | Integrated Behavioral Solutions Group Inc., 3200 S St. S.e., Washington, DC 20020 | 2020-04-06 |
| 1316581002 | Kamara King | Hospitalist | 2754 Bruce Pl Se, Washington, DC 20020 | 2019-11-05 |
| 1639720394 | Denise Anderson | Technician | 2401 Bryan Pl S.e, Washington, DC 20020 | 2019-09-24 |
| 1629628664 | Rayniece Ann Johnson | Technician | 1641 W.st Se #303, Washington, DC 20020 | 2019-09-11 |
| 1780245787 | Connie Kitchings | Technician | 2800 Shipley Terrace Se, Washington, DC 20020 | 2019-06-21 |
| 1922560366 | Neka Ramsey-lee | Counselor | Anacostia Community Health Center, 1500 Galen Street, Se, Washington, DC 20020 | 2019-04-04 |
| 1750843553 | Chloe Rebecca Zaitlin | Psychologist | 2600 Douglass Rd. Se, Washington, DC 20020 | 2019-04-02 |
| 1356814974 | Ferris Antwan Alston | Technician | 2100 Mlk Jr Ave S.e., Suite#100, Washington, DC 20020 | 2019-01-07 |
| 1083182471 | Aaron Joshua Jones | Technician | 1432 T Street Se, 1432 T Street Se, Washington, DC 20020 | 2018-11-05 |
| Find all providers in zip 20020 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659882595 | Shiningstars Pediatric Dentistry PC | Dentist | 435 Ingraham St Ne, Washington, DC 20011 | 2017-10-18 |
| 1841738861 | Sarah Ann Lukeman | Dentist | 2013 Bunker Hill Rd Ne, Washington, DC 20018-3223 | 2017-02-09 |
| 1629451430 | Capital Kids Dentistry LLC | Dentist | 4200 Wisconsin Ave Nw Ste 240, Washington, DC 20016-2143 | 2015-06-30 |
| 1346620929 | Sterling Roberts | Dentist | 6323 Georgia Ave Nw Ste 201, Washington, DC 20011-1141 | 2015-06-09 |
| 1144631706 | Dc Light Dental, PC | Dentist | 1331 Pennsylvania Ave Nw Ste 502, Washington, DC 20004-1771 | 2014-05-16 |
| 1174949101 | Roma Gandhi | Dentist | 4910 Massachusetts Ave Nw Ste 311, Washington, DC 20016-4368 | 2014-03-14 |
| 1043539570 | Seungwon Yoon | Dentist | 1145 19th St Nw Ste 714, Washington, DC 20036-3713 | 2010-05-24 |
| 1003041328 | Siamak Sy Majidi | Dentist | 3239 N St Nw Apt 12, Washington, DC 20007-2834 | 2009-05-17 |
| 1720297344 | St.elmo W. Crawford D.d.s.p.c. | Dentist | 1922 Benning Rd Ne, Washington, DC 20002-4724 | 2007-05-21 |
| 1780726810 | Stephen Edward Grimm IIi | Dentist | Howard University College of Dentistry, 600 W Street, Nw, Washington, DC 20059-0001 | 2007-02-13 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20020 |
Please comment or provide details below to improve the information on PEARSON PEDIATRIC DENTISTRY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.