Active NPI
Patrick J Perry, D.M.D.
- General Practice Dentistry
- Gibsonia, PA
National Provider Identifier
1093777153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS022720L
- Practice address
- 4835 Oakhurst Ave
Gibsonia, PA 15044-8392 - Phone
- (724) 449-0045
- NPI assigned
- Apr 4, 2006
- Last updated
- Jul 31, 2011
- 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 | DS022720L | PA | Primary |
Addresses
Primary practice location
4835 Oakhurst Ave
Gibsonia, PA 15044-8392
Mailing address
4835 Oakhurst Ave
Gibsonia, PA 15044-8392
Phone (724) 449-0045
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS022720L | PA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312070400000",
"number": "1093777153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4835 OAKHURST AVE",
"city": "GIBSONIA",
"state": "PA",
"postal_code": "150448392",
"telephone_number": "724-449-0045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4835 OAKHURST AVE",
"city": "GIBSONIA",
"state": "PA",
"postal_code": "150448392",
"telephone_number": "724-449-0045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "PATRICK",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-04",
"last_updated": "2011-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS022720L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gibsonia, PA
- Ryan Quinn Palajsa, PHARMD
- Jacob Pancake, DDS
- Paramount Anesthesia Associates, LLC
- Pennsylvania CVS Pharmacy LLC (CVS Pharmacy #)
- Jennifer Lynn Perko, MSN, APRN, FPN-C
- Robert A. Petcash, D.M.D.
- Pettinato Chiropractic Center PC (Healthyways Sports and Occupational Medicine)
- Francesca Pettinato
- Gabrielle Nicole Pettinato
- Joseph B Pettinato, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.