Robert D Perrott, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18922 Issued in OH

Practice address

7200 Bristlewood Dr
Boardman, OH 44512-5111

Phone

(330) 726-0090

Fax

(330) 726-1002

NPI assigned

Feb 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Robert D Perrott DMD Limited

  • Dental Clinic/Center
  • Boardman, OH
  • NPI 1265192454
  NPD Authorized official
• Colton D Hiner DDS Inc

  • General Practice Dentistry
  • Boardman, OH
  • NPI 1619831351
  NPD (past)

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154462695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 BRISTLEWOOD DR",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125111",
            "telephone_number": "330-726-0090",
            "fax_number": "330-726-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 BRISTLEWOOD DR",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125111",
            "telephone_number": "330-726-0090",
            "fax_number": "330-726-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERROTT",
        "first_name": "ROBERT",
        "middle_name": "D",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "18922",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS026257L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Lynn Pegg, CRNP
• Jasen M Pekalla
• Doreen Lee Peloza, RPH
• Michael Fred Peretti, DC
• Trent A. Perkins, DO
• Sandra E Perrotta, MSED, LPCC
• Wardah Pervez
• Laura Marie Pesci, D.O.
• Morgan Pesnell
• Carl Roy Peterson III, M.D., M.S.

• General Practice Dentistry in Boardman, OH
• Providers in Boardman, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.