Shaun D Perryman, DDS, MBA

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

27741 Issued in TX

Practice address

4522 Fredericksbug Rd.
Ste A28
San Antonio, TX 78201

Phone

(210) 354-3131

NPI assigned

Jun 13, 2012

Sex

Male

Sole proprietor

No

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

Credentials

Master of Business Administration

State licenses

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1114289477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17101 LA CANTERA PKWY APT 12507",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782562489",
            "telephone_number": "706-294-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4522 FREDERICKSBUG RD.",
            "address_2": "STE A28",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78201",
            "telephone_number": "210-354-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRYMAN",
        "first_name": "SHAUN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-13",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "27741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Kathleen Perry, MA CCC-SLP
• Ligia Perry
• Traci Jane Perry, O.T.
• Van Emmet Perry, MD
• Kenzie Danae Perryman, PA-C
• Teri Lynn Perryman, MD
• Vonda F Perryman
• Robert Harold Persellin, M. D.
• Scott E. Persinger, LCSW
• Karlisha Person-Jones, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; 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.