Organization Active NPI

Stephen S Perry DDS LTD

  • Dentist
  • Columbia, PA
National Provider Identifier
1043220387
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS18352L Issued in PA
Legal business name
STEPHEN S PERRY DDS LTD
Practice address
432 Chestnut St
Columbia, PA 17512-1234
Phone
(717) 684-6975
NPI assigned
Aug 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Stephen Sherman Perry, DDSNPI 1023342326
Title
President
Phone
(717) 684-6975

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS18352L PA Primary

Addresses

Primary practice location

432 Chestnut St
Columbia, PA 17512-1234

Mailing address

432 Chestnut St
Columbia, PA 17512-1234
Phone (717) 684-6975

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043220387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 CHESTNUT ST",
            "city": "COLUMBIA",
            "state": "PA",
            "postal_code": "175121234",
            "telephone_number": "717-684-6975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 CHESTNUT ST",
            "city": "COLUMBIA",
            "state": "PA",
            "postal_code": "175121234",
            "telephone_number": "717-684-6975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN S PERRY DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "SHERMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-684-6975",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS18352L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.