Perla Dental of Bedford

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21330 Issued in TX

Legal business name

PERLA DENTAL OF BEDFORD

Practice address

2248 Central Dr
Bedford, TX 76021-5820

Phone

(972) 223-9600

NPI assigned

Nov 4, 2011

Organization subpart

No

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

Authorized official

Name

Jayesha Hussain, DDS

Title

Owner

Phone

(469) 387-3332

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1104103134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2248 CENTRAL DR",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2248 CENTRAL DR",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215820",
            "telephone_number": "972-223-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERLA DENTAL OF BEDFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-04",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "JAYESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-387-3332",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Yvonne Pelletier
• Angelica Pena, PTA
• Douglas Pena
• Blanche Penaredondo, LPC-ASSOCIATE
• Lisa Perez, BA
• Kelly Marlene Persons, CRNFA
• Peter E. Grays MD Surgical Center PA
• John Michael Peters, M.D.
• Michael Peters, L.P.C.
• Jerry Peterson, COTA

• General Practice Dentistry in Bedford, TX
• Providers in Bedford, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.

Verify at the official NPI Registry.