Active NPI
Jeff Randall Perkins, D.D.S.
- General Practice Dentistry
- Aptos, CA
National Provider Identifier
1013916980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 38216
- Practice address
- 9061 Soquel Dr
Aptos, CA 95003-4001 - Phone
- (831) 688-3633
- Fax
- (831) 688-3702
- NPI assigned
- Jul 21, 2005
- Reactivated
- Apr 6, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 38216 | CA | Primary |
Addresses
Primary practice location
9061 Soquel Dr
Aptos, CA 95003-4001
Mailing address
231 Auburn Ave
Santa Cruz, CA 95060-6233
Phone (831) 419-6363
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
| License | State | Type | Specialty |
|---|---|---|---|
| 38216 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1013916980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 AUBURN AVE",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950606233",
"telephone_number": "831-419-6363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9061 SOQUEL DR",
"city": "APTOS",
"state": "CA",
"postal_code": "950034001",
"telephone_number": "831-688-3633",
"fax_number": "831-688-3702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERKINS",
"first_name": "JEFF",
"middle_name": "RANDALL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-21",
"last_updated": "2026-07-13",
"deactivation_date": "2006-03-20",
"reactivation_date": "2006-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "38216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aptos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.