Randall S Perry DDS PA

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

6074 Issued in NC

Legal business name

RANDALL S PERRY DDS PA

Practice address

1132 Davie Ave
Statesville, NC 28677

Phone

(704) 881-0990

Fax

(704) 872-8541

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Randall Scott Perry, DDSNPI 1306268016

Title

Owner

Phone

(704) 881-0990

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Randall Scott Perry, DDS

  • Dentist
  • Statesville, NC
  • NPI 1306268016
  NPD (past) Authorized official

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434067200000",
    "number": "1033325014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 DAVIE AVE",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "28677",
            "telephone_number": "704-881-0990",
            "fax_number": "704-872-8541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 DAVIE AVE",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "28677",
            "telephone_number": "704-881-0990",
            "fax_number": "704-872-8541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL S PERRY DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2015-06-12",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-881-0990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NC",
            "license": "6074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime Erin Rainha
• Rajkumar Joshi MD PLLC
• Naveed Ali Rajper, M.D.
• Suja Raju, M.D.
• Dora Marcela Ramirez Ballesteros
• Elizabeth Randleman, CRNA
• Laura Randolph, D.O.
• George R Rankin, DDS
• Elizabeth Whitley Fickling Rashley, MD
• Nikhiel Bhasker Rau, M.D.

• Periodontics in Statesville, NC
• Providers in Statesville, NC by specialty
• Periodontics in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; 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.