Individual provider Active NPI

Christopher J Perry, MS, DMD

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1114052206
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19944 Issued in TX
Practice address
15900 La Cantera Pkwy
Suite 26245
San Antonio, TX 78256-2590
Phone
(210) 692-3844
Fax
(210) 692-3845
NPI assigned
Feb 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 19944 TX Primary

Addresses

Primary practice location

15900 La Cantera Pkwy
Suite 26245
San Antonio, TX 78256-2590

Mailing address

15900 La Cantera Pkwy
Suite 26245
San Antonio, TX 78256-2590
Phone (210) 692-3844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150626001298 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1951613363

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Perry Dental and TMJ Center, Inc General Practice Current Accepting new patients
Christopher J. Perry DMD PC General Practice Current Accepting new patients
Perry Dental Health, PA CurrentSince Nov 17, 2019 Accepting new patients

Locations

15900 La Cantera Pkwy
Ste 26245
San Antonio, TX 78256
Phone (210) 692-3844

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1114052206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15900 LA CANTERA PKWY",
            "address_2": "SUITE 26245",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782562590",
            "telephone_number": "210-692-3844",
            "fax_number": "210-692-3845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15900 LA CANTERA PKWY",
            "address_2": "SUITE 26245",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782562590",
            "telephone_number": "210-692-3844",
            "fax_number": "210-692-3845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MS, DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.