Individual provider Active NPI

Paul Anthony Perella, D.M.D

  • General Practice Dentistry
  • North Palm Beach, FL
National Provider Identifier
1013126481
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 15725 Issued in FL
Practice address
700 US Highway 1
Suite a
North Palm Beach, FL 33408-4500
Phone
(561) 290-1636
NPI assigned
May 22, 2007
Last updated
Aug 8, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN 15725 FL Primary

Addresses

Primary practice location

700 US Highway 1
Suite a
North Palm Beach, FL 33408-4500

Mailing address

700 US Highway 1
Suite a
North Palm Beach, FL 33408-4500
Phone (561) 290-1636

Other identifiers 1

IdentifierTypeStateIssuer
DN 15725OtherFLFL DENTAL LIC. #

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

LicenseStateTypeSpecialty
DN 15725FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
North Palm Beach Dentistry 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.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375920000000",
    "number": "1013126481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 US HIGHWAY 1",
            "address_2": "SUITE A",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334084500",
            "telephone_number": "561-290-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 US HIGHWAY 1",
            "address_2": "SUITE A",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334084500",
            "telephone_number": "561-290-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERELLA",
        "first_name": "PAUL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2013-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 15725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL DENTAL LIC. #",
            "identifier": "DN 15725",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; 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.