Sailesh Ram Pershad, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

056748 Issued in NY

Practice address

102 Ford St
Ogdensburg, NY 13669-1402

Phone

(315) 713-9350

NPI assigned

Jun 18, 2012

Reactivated

Jan 6, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• United Cerebral Palsy Association of the North Country, Inc.

  • Federally Qualified Health Center (FQHC)
  • Canton, NY
  • NPI 1467432765
  NPD

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1063775773",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "281 CLARE ST",
            "city": "OTTAWA",
            "state": "ONTARIO",
            "postal_code": "K1Z7E3"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 FORD ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136691402",
            "telephone_number": "315-713-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSHAD",
        "first_name": "SAILESH",
        "middle_name": "RAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-18",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "deactivation_date": "2017-08-30",
        "reactivation_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "056748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alesha J Pedersen, PA
• Jordan Pedersen, PT
• Michele Pelusi-Catlin
• Kristin Pelusi, LCSW
• Stacie L Perretta, LPN
• Nils Ingar Peterson
• James P Phillips, RN
• Jeffrey Robert Phillips
• Debra J Piercey, RN
• Alicia M Pirie, LMSW

• General Practice Dentistry in Ogdensburg, NY
• Providers in Ogdensburg, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.