Organization Active NPI

Alan C Perry DDS (a Professional Dental Corporation)

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lake Charles, LA
National Provider Identifier
1124459110
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
3016 Issued in LA
Legal business name
ALAN C PERRY DDS (A PROFESSIONAL DENTAL CORPORATION)
Practice address
1837 W Prien Lake Rd
Lake Charles, LA 70605-1223
Phone
(337) 478-4608
NPI assigned
Dec 2, 2013
Organization subpart
Yes
Parent organization
ALAN C. PERRY, DDS(A PROFESSIONAL DENTAL CORPORATION)As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Authorized official

Name
Alan Carl Perry, D.D.S.
Title
Orthodontist
Phone
(337) 478-4608

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 3016 LA Primary

Addresses

Primary practice location

1837 W Prien Lake Rd
Lake Charles, LA 70605-1223

Mailing address

1837 West Prien Lake Road
Lake Charles, LA 70605
Phone (337) 478-4608

Other names 1

  • Lake Charles Orthodontics Doing business as

National Provider Directory

National Provider Directory
Part of
Alan C Perry DDS a Professional Dental Corporation

Locations

1837 W Prien Lake Rd
Lake Charles, LA 70605
Phone (337) 478-2805

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1124459110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1837 WEST PRIEN LAKE ROAD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70605",
            "telephone_number": "337-478-4608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1837 W PRIEN LAKE RD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706051223",
            "telephone_number": "337-478-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN C PERRY DDS (A PROFESSIONAL DENTAL CORPORATION)",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALAN C. PERRY, DDS(A PROFESSIONAL DENTAL CORPORATION)",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "337-478-4608",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "LA",
            "license": "3016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Charles Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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.